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Choi, Lee, Kim, Jeon, Kim, and Bae: A case of primary pulmonary hypertension diagnosed at postpartum
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(6): 408-412.

Published online: 16 June 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.6.408

A case of primary pulmonary hypertension diagnosed at postpartum

Sl-A Choi, MD, Mi-Ra Lee, MD, Min-Jeong Kim, MD, Hye-Ji Jeon, MD, Yun-Sook Kim, MD, Dong-Han Bae, MD

Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

Corresponding author: Yun-Sook Kim, MD. Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-930, Korea. Tel: +82-41-570-2150, Fax: +82-41-571-7887, drsook@schmc.ac.kr

Received 8 January 2012       Revised 10 March 2012       Accepted 16 April 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary pulmonary hypertension is a rare disorder and rarely present in pregnant woman, but it make high risk of maternal morbidity and mortality. When a woman with subclinical primary pulmonary hypertension is pregnant, physiologic increase in maternal plasma volume aggravates pulmonary pressure cause cardiac arrest and maternal death. We diagnosed primary pulmonary hypertension in parous woman who didn't present at any symptom during pregnancy but had dyspnea 7 days after preterm vaginal delivery at 30 weeks 6 days. We report this case with brief review of literatures.

Keywords: Primary pulmonary hypertension, Dyspnea, Pregnancy

Figures and Tables

Fig. 1
The electrocardiogram shows T wave inversion in lead V1-V5 (arrow), it means ischemia of anterolateral wall.
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Fig. 2
Chest computed tomography shows enlargement of main pulmonary artery (arrow).
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Fig. 3
(A) Echocardiographic finding shows that dilated right atrium and enlargement of right ventricle (arrow). (B) Maximal right ventricular pressure that checked at tricuspid regurgitation flow was shown.
kjog-55-408-g003

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