Postpartum pulmonary arterial hypertension: Two cases covering a wide spectrum of presentations

Eftychia Demerouti, Athanassios Manginas, Spyridon Rammos, George Athanassopoulos, George Karatasakis, Gregory Pavlides

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

We present two clinical cases of pulmonary arterial hypertension (PAH) diagnosed after pregnancy. Both patients experienced exertional breathlessness during the third month after their uncomplicated delivery, and idiopathic PAH was diagnosed after an integrated assessment. Our first patient, a 30-year-old woman, was vasoreactive, treated with optimally tolerated doses of calcium channel blockers with adequate response,and she has remained in a stable and satisfactory condition for the last seven years. The second patient, a34-year-old woman, was non-vasoreactive and had an inadequate response to combination therapy, including prostanoids. Balloon atrial septostomy was performed as a bridge to lung transplantation, however she expired five months after her delivery.

Original languageEnglish (US)
Pages (from-to)472-475
Number of pages4
JournalHellenic Journal of Cardiology
Volume53
Issue number6
StatePublished - Dec 7 2012

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Keywords

  • Balloon atrial septostomy
  • Lung transplantation
  • Pregnancy
  • Right ventricular failure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Demerouti, E., Manginas, A., Rammos, S., Athanassopoulos, G., Karatasakis, G., & Pavlides, G. (2012). Postpartum pulmonary arterial hypertension: Two cases covering a wide spectrum of presentations. Hellenic Journal of Cardiology, 53(6), 472-475.