A Case Report of Percutaneous Right Ventricular Assist Device Utilization After Cesarean Delivery in a Patient With Severe Pulmonary Arterial Hypertension-Reference-Cited by-同舟云学术

A Case Report of Percutaneous Right Ventricular Assist Device Utilization After Cesarean Delivery in a Patient With Severe Pulmonary Arterial Hypertension

Published:2023-11 Issue:11 Volume:17 Page:e01728
ISSN:2575-3126
Container-title:A&A Practice
language:en
Short-container-title:

Author:

Thomas Caroline¹,Tobes Daniel¹,Trela Kristin¹,Montes Mariana¹,Cuppini Candice¹,Petty Kyle¹,Saini Gurjit¹,Perdigao Joana²,Song Tae³,Dalton Allison¹,Tung Avery¹

Affiliation:

1. Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois

2. Department of Maternal and Fetal Medicine, University of Chicago, Chicago, Illinois

3. Department of Cardiac Surgery, University of Chicago, Chicago, Illinois.

Abstract

Physiologic changes of pregnancy are poorly tolerated in patients with pulmonary arterial hypertension (PAH), and peripartum maternal mortality is high. We present a case of a 31-year-old G3P0020 patient at 35 weeks’ gestation with severe World Health Organization group I PAH who underwent cesarean delivery followed by percutaneous right ventricular assist device placement. Risks and benefits of the mode of delivery, neuraxial versus general anesthesia, and mechanical circulatory support are reviewed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference15 articles.

1. Pulmonary hypertension in pregnancy.;Meng;Obstet Gynecol,2017

2. Has there been any progress made on pregnancy outcomes among women with pulmonary arterial hypertension?;Bédard;Eur Heart J,2009

3. Perioperative management for parturients with pulmonary hypertension: experience with 30 consecutive cases.;Ma;Front Med,2012

4. Pulmonary hypertension and pregnancy outcomes: data from the Registry Of Pregnancy and Cardiac Disease (ROPAC) of the European Society of Cardiology.;Sliwa;Eur J Heart Fail,2016

5. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy.;Regitz-Zagrosek;Eur Heart J,2018