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Published: 2025-02-27
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DOI: https://doi.org/10.52852/tcncyh.v187i2.3091
Issue
Vol. 187 No. 2 (2025)
Section
Các bài báo
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Anh, D. N. D., Thắng, N. T., Tú, N. H., Huyền, N. T., Tiến, L. V., Hùng, T. T., & Cúc, T. T. (2025). 39. General anesthesia for caesarean section in a patient with ventricular septal defect and severe pulmonary arterial hypertension: A case report. Journal of Medical Research, 187(2), 352-359. https://doi.org/10.52852/tcncyh.v187i2.3091

39. General anesthesia for caesarean section in a patient with ventricular septal defect and severe pulmonary arterial hypertension: A case report

Duong Nu Diep Anh, Nguyen Toan Thang, Nguyen Huu Tu, Nguyen Thanh Huyen, Le Van Tien, Tran Thanh Hung, Tran Thi Cuc

Main Article Content

Abstract

Pregnancy is contraindicated in patients with pulmonary hypertension because of the high mortality rates. However, some patients will only be diagnosed during pregnancy or still choose to become pregnant. Anesthesia for caesarean section in patients with pulmonary hypertension presents a significant challenge, requiring a careful anesthetic strategy from anesthesiologists and collaboration with multiple specialities: obstetrics, cardiology, and neonatology. We report a rare case: a 28-year-old female patient with a history of ventricular septal defect and fixed pulmonary arterial hypertension who had discontinued cardiovascular treatment after deciding to become pregnant. The patient presented at 35 weeks of pregnancy, ventricular septal defect, bidirectional shunt with severe pulmonary artery hypetension of at 128mmHg measured by ultrasound. We immediately consulted with a multidisciplinary team and make plan for cesarean section. The patient underwent successful cesarean delivery under general anesthesia with strict hemodynamic monitoring. Her infant had APGAR score of 8 - 9, and the patient was closely monitored in a critical care enviroment during the postparum period. The patient was successfully discharged after 21 days of treatment.

Article Details

Keywords

Pulmonary hypertension, caesarean section, anaesthetic management

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