Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension - a case report
The aim of this paper is to describe the third pregnancy trimester, delivery and puerperium in patient with idiopathic pulmonary hypertension. a 30-year-old primigravida with idiopathic pulmonary hypertension was qualified for emergency Caesarean section. In the post partum period no improvement in...
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| Veröffentlicht in: | Anaesthesiology intensive therapy : official publication of the Polish Society of Anaesthesiology and Intensive Therapy 2019-01, Vol.51 (1), p.70-71 |
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| container_title | Anaesthesiology intensive therapy : official publication of the Polish Society of Anaesthesiology and Intensive Therapy |
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| creator | Maciejewski, Tomasz Darocha, Tomasz Kiermasz, Kazimierz Budziarz, Barbara Duraj, Piotr Szanecki, Wojciech Mackiewicz, Mirosława Myszor, Jarosław Mizia-Stec, Katarzyna Kucewicz-Czech, Ewa |
| description | The aim of this paper is to describe the third pregnancy trimester, delivery and puerperium in patient with idiopathic pulmonary hypertension.
a 30-year-old primigravida with idiopathic pulmonary hypertension was qualified for emergency Caesarean section. In the post partum period no improvement in managing pulmonary arterial hypertension was achieved. Because of progressive respiratory and circulatory failure as well as the pulmonary artery pressure exceeding the systemic pressure the AV ECMO was applied on postoperative day 6. During the ECMO period the emergency laparotomy due to bleeding was necessary. The further course of ICU treatment was uneventful.
In described case things are left to chance or goodwill of specialists and final outcome depend on happy coincidences. |
| doi_str_mv | 10.5603/AIT.a2019.0001 |
| format | Article |
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a 30-year-old primigravida with idiopathic pulmonary hypertension was qualified for emergency Caesarean section. In the post partum period no improvement in managing pulmonary arterial hypertension was achieved. Because of progressive respiratory and circulatory failure as well as the pulmonary artery pressure exceeding the systemic pressure the AV ECMO was applied on postoperative day 6. During the ECMO period the emergency laparotomy due to bleeding was necessary. The further course of ICU treatment was uneventful.
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a 30-year-old primigravida with idiopathic pulmonary hypertension was qualified for emergency Caesarean section. In the post partum period no improvement in managing pulmonary arterial hypertension was achieved. Because of progressive respiratory and circulatory failure as well as the pulmonary artery pressure exceeding the systemic pressure the AV ECMO was applied on postoperative day 6. During the ECMO period the emergency laparotomy due to bleeding was necessary. The further course of ICU treatment was uneventful.
In described case things are left to chance or goodwill of specialists and final outcome depend on happy coincidences.</description><subject>Adult</subject><subject>Cesarean Section</subject><subject>Emergencies</subject><subject>Extracorporeal Membrane Oxygenation</subject><subject>Familial Primary Pulmonary Hypertension - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Postnatal Care</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - therapy</subject><issn>1642-5758</issn><issn>1731-2531</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF1LwzAUhoMobszdein5A635aNLmcoz5AQNv5nVJkzMXadOSdMp-gX_b1KlwIIfwPi-HB6FbSnIhCb9fPe9yzQhVOSGEXqA5LTnNmOD0Mu2yYJkoRTVDyxjfU4IImQLqGs04kbIkXM7R16aD8AbenLDREHUA7XEEM7reYwut-4BwwtpbPBwhDBDcscPOY40HPTrwI_504yERKQfYWden_4MzKd52vdcTHMaE6RYfTokfwcepO0sVRkfAAYY-jDfoaq_bCMvfd4FeHza79VO2fXl8Xq-2meGEjZkgqimorWhhKyga0SiiFRMFlVzTSqtCMdWw0koiGRCVhhpWsaq0Dd_rkvIFys-9JvQxBtjXQ3BdOrOmpJ6k1klq_SO1nqQm4O4MDMemA_sf_1PIvwGIuHQy</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Maciejewski, Tomasz</creator><creator>Darocha, Tomasz</creator><creator>Kiermasz, Kazimierz</creator><creator>Budziarz, Barbara</creator><creator>Duraj, Piotr</creator><creator>Szanecki, Wojciech</creator><creator>Mackiewicz, Mirosława</creator><creator>Myszor, Jarosław</creator><creator>Mizia-Stec, Katarzyna</creator><creator>Kucewicz-Czech, Ewa</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20190101</creationdate><title>Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension - a case report</title><author>Maciejewski, Tomasz ; Darocha, Tomasz ; Kiermasz, Kazimierz ; Budziarz, Barbara ; Duraj, Piotr ; Szanecki, Wojciech ; Mackiewicz, Mirosława ; Myszor, Jarosław ; Mizia-Stec, Katarzyna ; Kucewicz-Czech, Ewa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c302t-509b41d814d8e4b5b90a9254163a18a94929b27d6062e09e091c28287db3fa713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Cesarean Section</topic><topic>Emergencies</topic><topic>Extracorporeal Membrane Oxygenation</topic><topic>Familial Primary Pulmonary Hypertension - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Postnatal Care</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maciejewski, Tomasz</creatorcontrib><creatorcontrib>Darocha, Tomasz</creatorcontrib><creatorcontrib>Kiermasz, Kazimierz</creatorcontrib><creatorcontrib>Budziarz, Barbara</creatorcontrib><creatorcontrib>Duraj, Piotr</creatorcontrib><creatorcontrib>Szanecki, Wojciech</creatorcontrib><creatorcontrib>Mackiewicz, Mirosława</creatorcontrib><creatorcontrib>Myszor, Jarosław</creatorcontrib><creatorcontrib>Mizia-Stec, Katarzyna</creatorcontrib><creatorcontrib>Kucewicz-Czech, Ewa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Anaesthesiology intensive therapy : official publication of the Polish Society of Anaesthesiology and Intensive Therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maciejewski, Tomasz</au><au>Darocha, Tomasz</au><au>Kiermasz, Kazimierz</au><au>Budziarz, Barbara</au><au>Duraj, Piotr</au><au>Szanecki, Wojciech</au><au>Mackiewicz, Mirosława</au><au>Myszor, Jarosław</au><au>Mizia-Stec, Katarzyna</au><au>Kucewicz-Czech, Ewa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension - a case report</atitle><jtitle>Anaesthesiology intensive therapy : official publication of the Polish Society of Anaesthesiology and Intensive Therapy</jtitle><addtitle>Anaesthesiol Intensive Ther</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>51</volume><issue>1</issue><spage>70</spage><epage>71</epage><pages>70-71</pages><issn>1642-5758</issn><eissn>1731-2531</eissn><abstract>The aim of this paper is to describe the third pregnancy trimester, delivery and puerperium in patient with idiopathic pulmonary hypertension.
a 30-year-old primigravida with idiopathic pulmonary hypertension was qualified for emergency Caesarean section. In the post partum period no improvement in managing pulmonary arterial hypertension was achieved. Because of progressive respiratory and circulatory failure as well as the pulmonary artery pressure exceeding the systemic pressure the AV ECMO was applied on postoperative day 6. During the ECMO period the emergency laparotomy due to bleeding was necessary. The further course of ICU treatment was uneventful.
In described case things are left to chance or goodwill of specialists and final outcome depend on happy coincidences.</abstract><cop>Poland</cop><pmid>30667036</pmid><doi>10.5603/AIT.a2019.0001</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Anaesthesiology intensive therapy : official publication of the Polish Society of Anaesthesiology and Intensive Therapy, 2019-01, Vol.51 (1), p.70-71 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals |
| subjects | Adult Cesarean Section Emergencies Extracorporeal Membrane Oxygenation Familial Primary Pulmonary Hypertension - therapy Female Humans Infant, Newborn Male Postnatal Care Pregnancy Pregnancy Complications, Cardiovascular - therapy |
| title | Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension - a case report |
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