Anesthetic considerations for parturients with primary pulmonary hypertension: review of the literature and clinical presentation.
Primary pulmonary hypertension, though uncommon, is found relatively frequently in women of childbearing age and carries a high peripartum mortality. We present a patient with severe primary pulmonary hypertension who underwent two cesarean sections 3 and 6 years after the diagnosis of primary pulmonary hypertension was made. Epidural anesthesia was provided on both occasions and resulted in a good maternal and fetal outcome. We have reviewed the literature as it relates to the choice of anesthetic technique and maternal outcome in patients with primary pulmonary hypertension.
Department of Anesthesiology, Maricopa Medical Center, Phoenix, AZ 85010, USA.
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MJ
Khan
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Bhatt
J J
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Kryc