• A&A practice · Nov 2023

    Case Reports

    A Case Report of Percutaneous Right Ventricular Assist Device Utilization After Cesarean Delivery in a Patient With Severe Pulmonary Arterial Hypertension.

    • Caroline Thomas, Daniel Tobes, Kristin Trela, Mariana Montes, Candice Cuppini, Kyle Petty, Gurjit Saini, Joana Perdigao, Tae Song, Allison Dalton, and Avery Tung.
    • From the Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois.
    • A A Pract. 2023 Nov 1; 17 (11): e01728e01728.

    AbstractPhysiologic changes of pregnancy are poorly tolerated in patients with pulmonary arterial hypertension (PAH), and peripartum maternal mortality is high. We present a case of a 31-year-old G3P0020 patient at 35 weeks' gestation with severe World Health Organization group I PAH who underwent cesarean delivery followed by percutaneous right ventricular assist device placement. Risks and benefits of the mode of delivery, neuraxial versus general anesthesia, and mechanical circulatory support are reviewed.Copyright © 2023 International Anesthesia Research Society.

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