| Autor: |
Zainudin LD; Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia., Abdul Hafidz MI; Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia., Zakaria AF; Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia., Mohd Zim MA; Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia., Ismail AI; Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia., Abdul Rani MF; Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia. |
| Jazyk: |
angličtina |
| Zdroj: |
Respirology case reports [Respirol Case Rep] 2015 Dec 15; Vol. 4 (1), pp. 19-21. Date of Electronic Publication: 2015 Dec 15 (Print Publication: 2016). |
| DOI: |
10.1002/rcr2.143 |
| Abstrakt: |
We report a case of a 34-year-old lady with past history of asthma and pulmonary tuberculosis, who presented 5 weeks pregnant with acute dyspnea. Her chest X-ray showed left-sided complete lung collapse and concomitant right-sided pneumothorax. The pneumothorax was initially managed conservatively with a chest tube but due to its persistence despite suction, was subsequently changed to a Pneumostat(TM), with which she was later discharged. She had a normal echocardiography (ejection fraction [EF] 67%) at 5 weeks of gestation but developed pulmonary hypertension (EF 55%, pulmonary arterial pressure 40.7 mmHg) as the pregnancy progressed. She delivered a healthy baby at 35 weeks via elective lower section caesarean section with spinal anesthesia. We followed her up postnatally and noted the presence of left-sided pulmonary embolism, hypoplastic left lung, and left pulmonary artery. The management of this complex case involved a multidisciplinary effort between general medical, respiratory, obstetric, and cardiothoracic teams. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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