Maternal primary pulmonary hypertension associated with pregnancy.
Primary pulmonary hypertension (PPH) is a very uncommon clinical entity, with a high mortality when associated with pregnancy. Three cases of PPH associated with gestation and different outcomes are reported, and a literature review concerning its management and outcome is made. We emphasize the importance of a strict control of such patients, with the supportive cardiovascular measures and surveillance of fetal well-being. The peculiar handling of the course of delivery and the type of anaesthesia is discussed.
Martínez
J M
JM
Department of Obstetrics and Gynecology, Hospital Clinic i Provincial de Barcelona, Spain.
Comas
C
C
Sala
X
X
Gratacós
E
E
Torres
P J
PJ
Fortuny
A
A
D000293:Adolescent; D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000000981:diagnostic imaging; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging; D011859:Radiography