Undiagnosed Pulmonary Arterial Hypertension at 33 Weeks' Gestation:A Case Report

Seckel, Maureen A.; Gray, Carol; Farraj, Megan B.; O'Brien, Gerald
April 2010
Critical Care Nurse;Apr2010, Vol. 30 Issue 2, p45
Academic Journal
Case Study
The article presents a case study of a 22-year-old woman with a seizure. The patient was at 33 weeks' gestation at that time. A transthoracic echocardiogram revealed a markedly enlarged right ventricle with right ventricular strain and severe pulmonary hypertension (PAH). The patient undergone emergent catheterization and with planned intensive care medicine. The patient and her healthy newborn were discharged to home on postpartum day 13 or hospital day 40. INSET: Epoprostenol (Flolan).


Related Articles

  • Prostacyclin, Pregnancy, and PAH. Zwicke, Dianne L.; Buggy, Brian P.; Kay, Jonathon // Current Medical Literature: Pulmonary Hypertension;2011 Supplement, p9 

    In this article the authors look into studies which discover the importance of a multidisciplinary aggressive team approach for decreasing both maternal and infant mortality. The authors mention the authorization of the approach to the management of pulmonary arterial hypertension (PAH) in...

  • Inhaled iloprost for pulmonary hypertension.  // Caribbean Health;Dec2000, Vol. 3 Issue 4, p25 

    The article reports on the findings of the study concerning the use of inhaled aerolised iloprost for treating patients with pulmonary hypertension in Germany. It indicates that a continuous intravenous infusion of prostacyclin benefits patients with primary pulmonary hypertension but may be...

  • Selective Serotonin Reuptake Inhibitors in Human Pregnancy: To Treat or Not to Treat? Diav-Citrin, Orna; Ornoy, Asher // Obstetrics & Gynecology International;2012, p1 

    Selective serotonin reuptake inhibitors (SSRIs) are increasingly prescribed during pregnancy. The purpose of the present paper is to summarize and evaluate the current evidence for the risk/benefit analysis of SSRI use in human pregnancy. The literature has been inconsistent. Although most...

  • Two seizures and high BP. Kesler, Roman; Mendizabal, Jorge // Patient Care;1/15/1999, Vol. 33 Issue 1, p164 

    Discusses a case of a pregnant woman who had eclampsia. Results of physician exam and laboratory tests; Reasons for the unresponsiveness of the patient; Diagnostic test urgently needed.

  • Pulmonary Hypertension in Pregnancy: Critical Care Management. Bassily-Marcus, Adel M.; Yuan, Carol; Oropello, John; Manasia, Anthony; Kohli-Seth, Roopa; Benjamin, Ernest // Pulmonary Medicine;2012, p1 

    Pulmonary hypertension is common in critical care settings and in presence of right ventricular failure is challenging to manage. Pulmonary hypertension in pregnant patients carries a high mortality rates between 30-56%. In the past decade, new treatments for pulmonary hypertension have emerged....

  • Balloon pulmonary angioplasty in patients with inoperable chronic thromboembolic pulmonary hypertension. Andreassen, Arne K.; Ragnarsson, Asgrimur; Gude, Einar; Geiran, Odd; Andersen, Rune // Heart;Oct2013, Vol. 99 Issue 19, p1415 

    Objective To examine the effect of balloon pulmonary angioplasty (BPA) on chronic thromboembolic pulmonary hypertension (CTEPH) in patients with inoperable disease or persistent pulmonary hypertension after pulmonary endarterectomy. Design Observational cohort study. Setting Referred patients...

  • Vasodilator Testing with Nitric Oxide and/or Oxygen in Pediatric Pulmonary Hypertension. Barst, Robyn J.; Agnoletti, Gabriella; Fraisse, Alain; Baldassarre, James; Wessel, David L. // Pediatric Cardiology;Jul2010, Vol. 31 Issue 5, p598 

    The objective of this study was to determine whether a combination of inhaled nitric oxide (iNO) and O2 is more effective than 100% O2 or iNO alone for acute vasodilator testing in children. An open, prospective, randomized, controlled trial was conducted at 16 centers. Subjects were children 4...

  • Usefulness of Doppler Derived End Diastolic Flow Gradient Across the Patent Ductus Arteriosus in Selecting Coils for Ductal Occlusion. Chaurasia, Amit; Harikrishnan, S.; Bijulal, S.; Krishnamoorthy, K.; Sivasankaran, S.; Tharakan, J. // Pediatric Cardiology;Feb2012, Vol. 33 Issue 2, p290 

    Transcatheter closure of patent ductus arteriosus (PDA) with coils is accepted as an alternative to surgical ligation. We evaluated whether flow gradient across PDA, obtained by Doppler echocardiography, can aid in selecting coils for percutaneous ductal occlusion. 79 consecutive patients with...

  • Treatment of Pulmonary Hypertension in Children with Chronic Lung Disease with Newer Oral Therapies. Krishnan, Usha; Krishnan, Sankaran; Gewitz, Michael // Pediatric Cardiology;Nov2008, Vol. 29 Issue 6, p1082 

    Chronic lung disease (CLD) is often complicated by chronic pulmonary vascular changes and pulmonary hypertension (PH) in young children. Current therapies for severe PH in such patients, including oxygen, inhaled nitric oxide, and parenteral prostacyclin, are often suboptimal, cumbersome, and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics