• Medicina · Jan 2012

    Case Reports

    Cesarean delivery in severe pulmonary hypertension: a case report.

    • Kęstutis Rimaitis, Asta Aliuškevičienė, Dalia Adukauskienė, Marius Rimaitis, and Andrius Macas.
    • Department of Anesthesiology, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, 50028 Kaunas, Lithuania. kestutis.rimaitis@kaunoklinikos.lt
    • Medicina (Kaunas). 2012 Jan 1; 48 (3): 159-62.

    AbstractPregnancy in a woman with pulmonary hypertension carries a prohibitively high risk of maternal mortality, and pregnancy is contraindicated in such patients. Some women decide to continue with their pregnancy despite being aware of possible fatal maternal outcome. The management of pulmonary hypertension in pregnancy is a challenge and requires a multiprofessional approach. We report the case of a patient with severe pulmonary hypertension, who successfully underwent elective cesarean section under epidural anesthesia at 38 weeks of gestation and discuss major issues associated with the obstetric and anesthetic management of pregnant patients with pulmonary hypertension.

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