Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension — a case report
| Autor: | Mirosława Mackiewicz, Piotr Duraj, Jarosław Myszor, Katarzyna Mizia-Stec, Kazimierz Kiermasz, Tomasz Maciejewski, Barbara Budziarz, Wojciech Szanecki, Tomasz Darocha, Ewa Kucewicz-Czech |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Postnatal Care
Pregnancy business.industry RC86-88.9 Idiopathic Pulmonary Hypertension medicine.medical_treatment Idiopathic Pulmonary Arterial Hypertension Emergency Caesarean Section Medical emergencies. Critical care. Intensive care. First aid General Medicine Critical Care and Intensive Care Medicine medicine.disease Anesthesiology and Pain Medicine Anesthesiology Anesthesia medicine.artery Laparotomy Pulmonary artery medicine Extracorporeal membrane oxygenation RD78.3-87.3 business |
| Zdroj: | Anaesthesiology Intensive Therapy, Vol 51, Iss 1, Pp 73-79 (2019) |
| ISSN: | 1731-2531 1642-5758 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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