期刊
PULMONARY CIRCULATION
卷 6, 期 3, 页码 397-400出版社
UNIV CHICAGO PRESS
DOI: 10.1086/687756
关键词
ECMO; pulmonary hypertension; chronic thromboembolic pulmonary hypertension (CTEPH); pulmonary endarterectomy (PEA); pregnancy
It is well described that patients with group 1 forms of pulmonary arterial hypertension have a high risk of mortality during pregnancy and in the early postpartum period. However, to the authors' knowledge, the diagnosis and management of group 4 pulmonary hypertension due to chronic thromboembolic pulmonary hypertension (CTEPH) during pregnancy with early postpartum pulmonary endarterectomy (PEA) has not been previously reported. We report the case of a 28-year-old woman who received a diagnosis of CTEPH during her pregnancy, was managed as an inpatient by a multidisciplinary team throughout the pregnancy and early postpartum period, and underwent PEA 6 weeks after delivery. While the management of acute pulmonary embolus in pregnancy is well described, this unique case of CTEPH diagnosed during pregnancy illustrates several challenging management issues.
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