Acute resynchronization with inhaled iloprost in a pregnant woman with idiopathic pulmonary artery hypertension.
We describe the case of a pregnant woman with idiopathic pulmonary arterial hypertension, a responder in right heart catheterization, followed since the first trimester in outpatient consultations, admitted to hospital at 23 weeks gestation. She was treated with inhaled iloprost until delivery (at 34 weeks gestation) and continuous infusion of iloprost throughout the perioperative period and following days. This line of therapy has proved efficacious in previous cases. The authors present echocardiographic images that document acute changes in ventricular synchrony during inhalation of iloprost.
Cotrim
Carlos
C
Unidade de Insuficiência Cardíaca e Hipertensão Pulmonar, Hospital Garcia de Orta, Almada, Portugal. carlosadcotrim@hotmail.com
Simões
Otília
O
Loureiro
M J
MJ
Cordeiro
Pedro
P
Miranda
Rita
R
Silva
Cecília
C
Avillez
Teresa
T
Carrageta
Manuel
M
D000280:Administration, Inhalation; D000328:Adult; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy*; D016285:Iloprost / Q000008:administration & dosage*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy*; D014665:Vasodilator Agents / Q000008:administration & dosage*
D014665:Vasodilator Agents; D016285:Iloprost