open access

Vol 51, No 1 (2019)
Letters to editor
Published online: 2019-01-22
Submitted: 2018-08-22
Accepted: 2019-01-19
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Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension — a case report

Tomasz Maciejewski, Tomasz Darocha, Kazimierz Kiermasz, Barbara Budziarz, Piotr Duraj, Wojciech Szanecki, Mirosława Mackiewicz, Jarosław Myszor, Katarzyna Mizia-Stec, Ewa Kucewicz-Czech
DOI: 10.5603/AIT.a2019.0001
·
Pubmed: 30667036
·
Anaesthesiol Intensive Ther 2019;51(1):70-71.

open access

Vol 51, No 1 (2019)
Letters to editor
Published online: 2019-01-22
Submitted: 2018-08-22
Accepted: 2019-01-19

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.

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.
Get Citation
About this article
Title

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

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 51, No 1 (2019)

Pages

70-71

Published online

2019-01-22

DOI

10.5603/AIT.a2019.0001

Pubmed

30667036

Bibliographic record

Anaesthesiol Intensive Ther 2019;51(1):70-71.

Authors

Tomasz Maciejewski
Tomasz Darocha
Kazimierz Kiermasz
Barbara Budziarz
Piotr Duraj
Wojciech Szanecki
Mirosława Mackiewicz
Jarosław Myszor
Katarzyna Mizia-Stec
Ewa Kucewicz-Czech

References (10)
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