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Anaesthesiol Intensive Ther. 2019;51(1):70-71. doi: 10.5603/AIT.a2019.0001. Epub 2019 Jan 22.

Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension - a case report.

Author information

1
Cardiologic Intensive Care Unit, Prof. Leszek Giec Upper Silesian Medical Centre, Medical University of Silesia, Katowice, ul. Ziołowa 45-47, 40-635 Katowice, Poland.
2
Department of Cardiac Anaesthesia and Intensive Therapy, Medical University of Silesia, Ziołowa 45/47, 40-635 Katowice, Poland.
3
Department of Cardiac Surgery, Medical University of Silesia, Katowice, Poland.
4
Department of Gynaecology and Obstetrics,, Upper Silesian Medical Centre, Medical University of Silesia, Ziołowa 45-47, 40-635 Katowice, Poland.
5
1st Department of Cardiology, Medical University of Silesia, Katowice, Poland.
6
Department of Cardiac Anaesthesia and Intensive Therapy, Medical University of Silesia, Ziołowa 45/47, 40-635 Katowice, Poland. kucewiczewa@op.pl.

Abstract

BACKGROUND:

The aim of this paper is to describe the third pregnancy trimester, delivery and puerperium in patient with idiopathic pulmonary hypertension.

CASE REPORT:

a 30-year-old primigravida with idiopathic pulmonary hypertension was qualified for emergency Caesarean section. In the post partum period no improvement in managing pulmonary arterial hypertension was achieved. Because of progressive respiratory and circulatory failure as well as the pulmonary artery pressure exceeding the systemic pressure the AV ECMO was applied on postoperative day 6. During the ECMO period the emergency laparotomy due to bleeding was necessary. The further course of ICU treatment was uneventful.

CONCLUSION:

In described case things are left to chance or goodwill of specialists and final outcome depend on happy coincidences.

PMID:
30667036
DOI:
10.5603/AIT.a2019.0001

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