January 5, 2013Journal of the Saudi Heart AssociationOpen Access

Primary pulmonary hypertension during pregnancy: A case report

View Full Paper

Ask AI

Bookmark

Population

25-year-old pregnant woman with severe primary pulmonary hypertension, severe right ventricular hypertrophy…

Design

Case_report

Follow-up

5 days post-delivery

Authors

HAHanan AlbackrKing Saud Medical City LALateefa O. AldakhilKing Saud Medical City AAAlshaer AhamdKing Saud University

Discussion

Member takes

Implication

May inform peripartum vasodilator strategies in severe PH; leaves open need for prospective validation before practice change.

Structured PICO

Population

25-year-old pregnant woman with severe primary pulmonary hypertension (PPH), severe right ventricular hypertrophy with dilatation, and moderate right ventricular systolic dysfunction.

Intervention

Elective caesarean section under general anaesthesia at 32 weeks of gestation, with intraoperative nitric oxide, followed by postoperative nebulized iloprost and sildenafil, and maintenance with oral sildenafil 50 mg three times daily and low-dose warfarin.

Outcome

Maternal stabilization and successful delivery of infant.

Careful multidisciplinary management utilizing intraoperative nitric oxide and postoperative targeted pulmonary vasodilator therapy can facilitate successful delivery and maternal survival in severe primary pulmonary hypertension.

Cite This Study

Albackr et al. (2013) studied this question.

synapsesocial.com/papers/6a7c188a0bfa86fad9c6641e https://doi.org/10.1016/j.jsha.2012.12.001

View Full Paper

Ask AI

Bookmark

Primary pulmonary hypertension during pregnancy: A case report

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Primary pulmonary hypertension during pregnancy: A case report

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider