Korean Circ J.  1997 Aug;27(8):881-886. 10.4070/kcj.1997.27.8.881.

A Case of Primary Pulmonary Hypertension Associated with Pregnancy

• Hwang IH
• Choi JW
• Hwang EK
• Mun CH
• Min HC
• Song CS

• KMID: 1543083
• DOI: http://doi.org/10.4070/kcj.1997.27.8.881

Abstract

Primary pulmonary hypertension is a rar, incurable, and progressive clinical entity. When associated with pregnancy, the prognosis of primary pulmonary hypertension is worsened with maternal mortality rates of at least 50%. The patient was a 29-year-old mother in her 2nd pregnancy, with previous uncomplicated gestation, 5 years ago. She had been well until the 28th week of present gestation when she was admitted because of increasing dyspnea on exertion. She was a housewife with no remarkable family and past histories. We have experienced a patient with primary pulmonary hypertension in pregnancy. She was treated with an oral calcium-channel blocker and low-molecular-weight heparin and was delivered vaginally with good maternal and fetal outcome. So we report a case of primary pulmonary hypertension associated with pregnancy and review literature.

Keyword

primary pulmonary hypertension; pregnancy; calcium-channel blocker; low-molecular-weit heparin

MeSH Terms

Adult
Dyspnea
Heparin, Low-Molecular-Weight
Humans
Hypertension, Pulmonary*
Maternal Mortality
Mothers
Pregnancy*
Prognosis
Heparin, Low-Molecular-Weight