title: Pregnancy with hypoplastic left lung complicated by pneumothorax and pulmonary embolism.
abstract: We report a case of a 34-year-old lady with past history of asthma and pulmonary tuberculosis, who presented 5 weeks pregnant with acute dyspnea. Her chest X-ray showed left-sided complete lung collapse and concomitant right-sided pneumothorax. The pneumothorax was initially managed conservatively with a chest tube but due to its persistence despite suction, was subsequently changed to a Pneumostat(TM), with which she was later discharged. She had a normal echocardiography (ejection fraction [EF] 67%) at 5 weeks of gestation but developed pulmonary hypertension (EF 55%, pulmonary arterial pressure 40.7 mmHg) as the pregnancy progressed. She delivered a healthy baby at 35 weeks via elective lower section caesarean section with spinal anesthesia. We followed her up postnatally and noted the presence of left-sided pulmonary embolism, hypoplastic left lung, and left pulmonary artery. The management of this complex case involved a multidisciplinary effort between general medical, respiratory, obstetric, and cardiothoracic teams.
authors.affiliation: Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia.
authors.forename: Lily D
authors.initials: LD
authors.lastname: Zainudin
authors.affiliation: Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia.
authors.forename: Muhammad I
authors.initials: MI
authors.lastname: Abdul Hafidz
authors.affiliation: Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia.
authors.forename: Ahmad F
authors.initials: AF
authors.lastname: Zakaria
authors.affiliation: Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia.
authors.forename: Mohd A
authors.initials: MA
authors.lastname: Mohd Zim
authors.affiliation: Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia.
authors.forename: Ahmad I
authors.initials: AI
authors.lastname: Ismail
authors.affiliation: Department of Respiratory Medicine University Teknologi MARA (UiTM), Malaysia Hospital Sungai Buloh Selangor Malaysia.
authors.forename: Mohammed F
authors.initials: MF
authors.lastname: Abdul Rani
keywords: Hypoplastic; pneumothorax; pregnancy; pulmonary embolism; pulmonary tuberculosis
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