A case of pregnancy combined with maternal primary pulmonary hypertension.

Shin, So Jin; Kang, Hyung Ok; Lee, Dong Ho; Park, Joon Cheol; Rhee, Jeong Ho; Yoon, Sung Do; Kim, Jong In

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(2):457-461.
Published online February 1, 2005.

A case of pregnancy combined with maternal primary pulmonary hypertension.

So Jin Shin, Hyung Ok Kang, Dong Ho Lee, Joon Cheol Park, Jeong Ho Rhee, Sung Do Yoon, Jong In Kim

Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, Daegu, Korea. k1011@dsmc.or.kr

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 a pregnant woman who didn't present any symptoms before pregnancy but had dyspnea from 2nd trimester of gestation. She expired due to sudden aggravation of pulmonary overloading. We reports this case with brief review of literature.

Key Words: Primary pulmonary hypertension