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Case Report

Cesarean Delivery in Severe Pulmonary Hypertension: A Case Report

by
Kęstutis Rimaitis
1,2,*,
Asta Aliuškevičienė
3,
Dalia Adukauskienė
4,
Marius Rimaitis
4 and
Andrius Macas
1
1
Department of Anesthesiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania
2
Department of Obstetrics and Gynecology, Medical Academy, Lithuanian University of Health Sciences, Lithuania
3
Department of Anesthesiology, Aalborg University Hospital, Denmark, 4 Department of Intensive Care, Medical Academy, Lithuanian University of Health Sciences, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2012, 48(3), 22; https://doi.org/10.3390/medicina48030022
Submission received: 25 September 2011 / Accepted: 24 February 2012 / Published: 29 February 2012

Abstract

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.
Keywords: pulmonary hypertension; high-risk pregnancy; cesarean delivery; epidural anesthesia pulmonary hypertension; high-risk pregnancy; cesarean delivery; epidural anesthesia

Share and Cite

MDPI and ACS Style

Rimaitis, K.; Aliuškevičienė, A.; Adukauskienė, D.; Rimaitis, M.; Macas, A. Cesarean Delivery in Severe Pulmonary Hypertension: A Case Report. Medicina 2012, 48, 22. https://doi.org/10.3390/medicina48030022

AMA Style

Rimaitis K, Aliuškevičienė A, Adukauskienė D, Rimaitis M, Macas A. Cesarean Delivery in Severe Pulmonary Hypertension: A Case Report. Medicina. 2012; 48(3):22. https://doi.org/10.3390/medicina48030022

Chicago/Turabian Style

Rimaitis, Kęstutis, Asta Aliuškevičienė, Dalia Adukauskienė, Marius Rimaitis, and Andrius Macas. 2012. "Cesarean Delivery in Severe Pulmonary Hypertension: A Case Report" Medicina 48, no. 3: 22. https://doi.org/10.3390/medicina48030022

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