Anesthetic management of a patient with pulmonary arterial hypertension undergoing caesarean section

Ayako Hasegawa, Yuka Azuma, Yuuki Ohashi, Motonari Yamashina, Kiyoshi Moriyama, Takehiko Iijima, Tomoko Yorozu

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 38-year-old woman on medical therapy for Basedow disease and hypertension with a history of recent heart failure became pregnant. At the 13th week of gestation, her echocardiography showed pulmonary hypertension with 63 mmHg of estimated systolic pulmonary arterial pressure. At the 26th week of gestation, she was admitted to our hospital with dyspnea and uncontrolled hypertension. After medical treatments, elective caesarean section was scheduled at the 30th week of gestation. While monitoring continuously arterial blood pressure and central venous pressure, continuous infusion of prostaglandin El was initiated. After epidural anesthesia had been established, surgical procedure was safely performed. The patient was discharged 9 days after surgery, and her estimated systolic pulmonary arterial pressure dropped to 35 mmHg on echocardiography 2 months after the operation. We speculate that pregnancy induced her severe pulmonary hypertension.

Original languageEnglish
Pages (from-to)183-185
Number of pages3
JournalJapanese Journal of Anesthesiology
Volume62
Issue number2
Publication statusPublished - 2013 Feb

Keywords

  • Caesarean section
  • Epidural anesthesia
  • Pulmonary arterial hypertension

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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