Key result
Elective cesarean under epidural anesthesia succeeds in a patient with severe pulmonary hypertension.
Case Report (n=1)
Demonstrates the successful management of a pregnant patient with severe pulmonary hypertension undergoing elective cesarean section under epidural anesthesia.
Successful cesarean feasible with multiprofessional care in select severe PH pregnancies; leaves open optimal protocols and generalizability.
Pregnancy 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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Rimaitis et al. (2012) conducted a case report in Severe pulmonary hypertension in pregnancy (n=1). Elective cesarean section under epidural anesthesia was evaluated on Maternal outcome. Elective cesarean section under epidural anesthesia was successfully performed in a pregnant patient with severe pulmonary hypertension at 38 weeks of gestation.
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