Archives of Gynecology and Obstetrics

, Volume 281, Issue 3, pp 431–434 | Cite as

Pulmonary hypertension during pregnancy: management of two cases

  • Delia Maria Paternoster
  • Irene Pascoli
  • Matteo Parotto
  • Maddalena Cester
  • Kimta Nanhornguè
  • Elisa Merati
  • Silvia Arrigoni
  • Greta Garofalo
  • Maria Bertolino
  • Massimo Micaglio
  • Claudio Ripa
Materno-Fetal Medicine

Abstract

Purpose

The aim of this article is to describe two cases of pulmonary hypertension during pregnancy to highlight the major issues associated with the obstetric and anesthesiological management of such patients who, despite the medical advice, decided to continue their pregnancy and gave birth to healthy babies.

Methods and results

In our first case, there has been the need for a general anesthesia because of the detachment of the placenta, whereas in the second case elective surgery under spinal anesthesia was performed, thus avoiding the anesthesiological and surgical problems associated with an emergency.

Conclusions

Pregnancy is contraindicated in case of pulmonary hypertension, a highly morbid disease affecting young women of childbearing age. Therefore, in such cases, a multidisciplinary approach is indispensable to plan optimal treatment for patients who wish to pursue a pregnancy even though their heart disease exposes them to a high level of risk.

Keywords

Pulmonary hypertension Anesthesia Cesarean section 

Notes

Conflict of interest statement

None.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Delia Maria Paternoster
    • 3
    • 5
  • Irene Pascoli
    • 1
  • Matteo Parotto
    • 2
  • Maddalena Cester
    • 1
  • Kimta Nanhornguè
    • 1
  • Elisa Merati
    • 3
  • Silvia Arrigoni
    • 3
  • Greta Garofalo
    • 3
  • Maria Bertolino
    • 3
  • Massimo Micaglio
    • 2
  • Claudio Ripa
    • 4
  1. 1.Department of Gynecological and Human Reproduction SciencesUniversity of PaduaPaduaItaly
  2. 2.Department of Pharmacology and Anaesthesiology, Anaesthesia and Intensive Medicine ClinicUniversity of PaduaPaduaItaly
  3. 3.Department of Clinical and Experimental MedicineUniversity of Piemonte Orientale, Gynecological and Obstetric ClinicNovaraItaly
  4. 4.Department of Anaesthesia and Intensive CareUniversity of Piemonte OrientaleNovaraItaly
  5. 5.Department of Obstetrics and GynaecologyAmedeo Avogadro University of Eastern PiedmontNovaraItaly

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