title: Cesarean delivery in severe pulmonary hypertension: a case report.
abstract: Pregnancy in a woman with pulmonary hypertension carries a prohibitively high risk of maternal mortality, and pregnancy is contraindicated in such patients. Some women decide to continue with their pregnancy despite being aware of possible fatal maternal outcome. The management of pulmonary hypertension in pregnancy is a challenge and requires a multiprofessional approach. We report the case of a patient with severe pulmonary hypertension, who successfully underwent elective cesarean section under epidural anesthesia at 38 weeks of gestation and discuss major issues associated with the obstetric and anesthetic management of pregnant patients with pulmonary hypertension.
authors.affiliation: Department of Anesthesiology, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, 50028 Kaunas, Lithuania. kestutis.rimaitis@kaunoklinikos.lt
authors.forename: Kęstutis
authors.initials: K
authors.lastname: Rimaitis
authors.forename: Asta
authors.initials: A
authors.lastname: Aliuškevičienė
authors.forename: Dalia
authors.initials: D
authors.lastname: Adukauskienė
authors.forename: Marius
authors.initials: M
authors.lastname: Rimaitis
authors.forename: Andrius
authors.initials: A
authors.lastname: Macas
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D002585:Cesarean Section; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000503:physiopathology*; D007231:Infant, Newborn; D050498:Live Birth; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*