scholarly journals Unilateral Pulmonary Artery Aplasia in a Pregnant Patient

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Chitra Lal ◽  
Jim Barker ◽  
Charlie Strange
Keyword(s):  
Pulmonary Hypertension ◽  
Chest Pain ◽  
Pulmonary Artery ◽  
Case Reports ◽  
Pregnant Patient ◽  
Pregnant Female ◽  
Prospective Evaluation ◽  
Rare Anomaly ◽  
History Of ◽  
In Pregnancy

Unilateral pulmonary artery aplasia is a rare anomaly. Case reports of this condition in pregnant patients are even more uncommon and the best approach to management of such patients is still unclear. We report a patient who presented with a history of dyspnea, chest pain, and hemoptysis. Imaging established the diagnosis in a newly pregnant female. Management of the pulmonary artery aplasia patient in pregnancy requires prospective evaluation of pulmonary hypertension.

scholarly journals Left Lung and Pulmonary Artery Hypoplasia: A Rare Case of Hemoptysis

2020 ◽  
Author(s):  
Guiomar Pinheiro ◽  
Ana Margarida Alves ◽  
Isabel Neves ◽  
Teresa Sequeira
Keyword(s):  
Pulmonary Hypertension ◽  
Pulmonary Artery ◽  
Pulmonary Hypoplasia ◽  
Left Lung ◽  
Left Pulmonary Artery ◽  
Pulmonary Infections ◽  
Rare Congenital Disorder ◽  
History Of ◽  
Pulmonary Artery Hypoplasia

Pulmonary hypoplasia or agenesis is a rare congenital disorder that results in lung underdevelopment. This disease is usually found in children but rarely encountered in adults. We describe the case of an 84-year-old woman diagnosed with a unilateral pulmonary hypoplasia presenting simultaneously with left pulmonary artery hypoplasia. Due to this condition, the patient had a lifelong history of pulmonary infections that resulted in several bronchiectases in the affected lung. Moreover, the pulmonary artery hypoplasia led to the development of pulmonary hypertension and collateral circulation causing hemoptysis, giving rise to the patient attending the emergency department. Although we were able to medically manage the hemoptysis, it can be fatal and require surgical intervention. Hence, an early diagnosis is essential so that appropriate follow-up and prompt prevention and treatment of complications, such as pulmonary infections, hemoptysis and pulmonary hypertension, are achieved.

scholarly journals Giant genital wart in pregnancy: cryotherapy as a spray of hope

2020 ◽  
Vol 6 (3) ◽  
pp. 423
Author(s):  
Vivekananda Ittigi ◽  
Gouhare Afshan
Keyword(s):  
Effective Treatment ◽  
Liquid Nitrogen ◽  
Treatment Modality ◽  
Genital Wart ◽  
Pregnant Patient ◽  
Genital Warts ◽  
Pregnant Female ◽  
The Past ◽  
Effective Treatment Modality ◽  
In Pregnancy

<p>Giant genital warts are caused by (HPV) type 6 and 11. Genital warts in pregnancy pose a treatment challenge. Here we report a case of 19 years pregnant patient treated with cryotherapy. A 19 years mid-term pregnant female presented with complaints of mild itchy increasing growth over the genitalia, in the past 20 days. Examination revealed a pinkish solitary cauliflower like growth over labia majora. The patient was treated with liquid nitrogen cryotherapy with each cycle of freeze and thawing for 15 seconds each for 12 weeks, the lesion almost regressed. Cryotherapy is a safe, easy and effective treatment modality in pregnancy.</p>

scholarly journals When the Uterus Competes for Perfusion: Management of a Pregnant Patient with Bypass Graft Occlusion

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Sarah McGriff ◽  
Paige Percer ◽  
Iberia Sosa ◽  
Hector Mendez-Figueroa ◽  
Joseph L. Mills ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Bypass Graft ◽  
Pregnant Patient ◽  
Arterial Disease ◽  
Graft Occlusion ◽  
Left Lower Extremity ◽  
Ct Angiogram ◽  
History Of ◽  
Peripheral Arterial ◽  
In Pregnancy

Background. Peripheral arterial disease (PAD) in pregnancy has serious implications and requires multidisciplinary management. This becomes even more complicated in the setting of active disease and history of prior vascular grafts. Case. A woman presented with increasing left lower extremity pain at 18 weeks of gestation with a complex history of PAD and a previous bifurcated aorta-left femoral, -right iliac bypass. CT angiogram demonstrated known occluded bypass graft. A multidisciplinary team of providers developed guidelines for potential surgical intervention based upon clinical symptoms. Conclusion. Pelvic PAD can worsen in pregnancy in the setting of the enlarging uterus, which can potentially deplete perfusion of existing collateral vessels. Symptomatic approach to worsening disease provided an effective management strategy in this case.

Anomalous origin of left pulmonary artery from the ascending aorta: echocardiography assessment

2019 ◽  
Vol 30 (1) ◽  
pp. 145-147
Author(s):  
Samir Atmani ◽  
Imane Bendris
Keyword(s):  
Pulmonary Hypertension ◽  
Pulmonary Artery ◽  
Cardiac Failure ◽  
Left Pulmonary Artery ◽  
Ascending Aorta ◽  
High Flow ◽  
Anomalous Origin ◽  
Cardiac Anomaly ◽  
Rare Anomaly

AbstractAnomalous origin of one pulmonary artery from the ascending aorta is a rare cardiac anomaly in which the pulmonary artery abnormally arises from the ascending aorta. Physiologically, most patients develop signs of cardiac failure due to high flow to both lungs. The purpose of this study is to demonstrate, with this rare anomaly, the accurate place of the echocardiography to establish diagnosis especially in the systemic or supra-systemic pulmonary hypertension.

scholarly journals A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Baruch Abittan ◽  
Aaron Nizam ◽  
Michael Oey ◽  
Felicia Callan ◽  
Lisa Simmonds ◽  
...  
Keyword(s):  
United States ◽  
Blood Cell ◽  
Gestational Age ◽  
Red Blood Cell ◽  
Exchange Transfusion ◽  
Pregnant Patient ◽  
Babesia Microti ◽  
History Of ◽  
Safe Treatment Option ◽  
In Pregnancy

Babesiosis, caused predominantly by Babesia microti, is an emerging health risk in the Northeastern and Midwestern United States. We present a case of a pregnant woman with history of splenectomy diagnosed with babesiosis at 23 5/7 weeks of gestational age refractory to antimicrobial therapy. She underwent the first reported red blood cell exchange transfusion for babesiosis in pregnancy, at 24 4/7 weeks of gestational age, which resulted in resolution of parasitemia. She had a full term, uncomplicated cesarean delivery. Exchange transfusion is potentially a safe treatment option for severe babesiosis infection in pregnancy and should be considered when other methods are poorly tolerated or ineffective.

scholarly journals Successful use of CPAP in a pregnant patient with COVID-19 pneumonia

2021 ◽  
Vol 14 (3) ◽  
pp. e238055
Author(s):  
Maxine Reindorf ◽  
Joseph Newman ◽  
Tejas Ingle
Keyword(s):  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Pregnant Patient ◽  
Shortness Of Breath ◽  
Short History ◽  
Trial Treatment ◽  
History Of ◽  
Robust Evidence ◽  
In Pregnancy

A 35-year-old nurse, who was 27 weeks pregnant at the time, was admitted to hospital with a short history of cough, fever and worsening shortness of breath. Oral and nasopharyngeal swabs were positive for SARS-CoV-2 on real-time viral PCR. During her admission, her breathing further deteriorated and she developed type 1 respiratory failure. A decision was made to trial treatment with continuous positive airway pressure (CPAP) as a means of avoiding intubation. The patient tolerated this well and made rapid improvements on this therapy. She was quickly weaned off and fully recovered before being discharged home. This case highlights the potential for CPAP to be used as a means of avoiding mechanical ventilation and iatrogenic preterm birth in COVID-19 pneumonia in pregnancy. Furthermore, it highlights the need for robust evidence to support this treatment.

scholarly journals Severe acute respiratory syndrome coronavirus-2- or pregnancy-related cardiomyopathy, a differential to be considered in the current pandemic: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Rahim Nejadrahim ◽  
Sara Khademolhosseini ◽  
Hadiseh Kavandi ◽  
Reza Hajizadeh
Keyword(s):  
Case Report ◽  
Severe Acute Respiratory Syndrome ◽  
Pulmonary Edema ◽  
Case Reports ◽  
Pregnant Patient ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Ventricular Ejection Fraction ◽  
Postpartum Cardiomyopathy ◽  
In Pregnancy

Abstract Background There are limited data on cardiovascular complications of coronavirus disease 2019 in pregnancy, and there are only a few case reports on coronavirus disease 2019 related cardiomyopathy in pregnancy. Differentiation between postpartum cardiomyopathy and coronavirus disease 2019 related cardiomyopathy in pregnant women who develop severe acute respiratory syndrome coronavirus-2 infection during peripartum could be challenging. Here, we present a case of possible coronavirus disease 2019 related cardiomyopathy in a pregnant patient, followed by a discussion of potential differential diagnosis. Case presentation In this case report, we present the case of a young pregnant Iranian woman who developed heart failure with pulmonary edema after cesarean section. She was treated because of low left ventricular ejection fraction and impression of postpartum cardiomyopathy, and her severe dyspnea improved by intravenous furosemide. On day 3, she exhibited no orthopnea or leg edema, but she was complaining of severe and dry cough. Further evaluation showed severe acute respiratory syndrome coronavirus-2 infection. Conclusions The possibility of severe acute respiratory syndrome coronavirus-2 infection should be considered in any pregnant woman who develops cardiomyopathy and pulmonary edema.

scholarly journals Mortality Prevention in Pregnancy With Pulmonary Arterial Hypertension

2020 ◽  
Vol 1 (4) ◽  
pp. 31-33
Author(s):  
Olivia Handayani ◽  
Mohammad Saifur Rohman ◽  
Ardian Rizal ◽  
Setyasih Anjarwani
Keyword(s):  
Pulmonary Hypertension ◽  
Multidisciplinary Team ◽  
Age Groups ◽  
Delayed Diagnosis ◽  
Delivery Method ◽  
Lung Maturation ◽  
Pregnancy And Delivery ◽  
History Of ◽  
Pulmonary Arterial ◽  
In Pregnancy

Background : Pulmonary hypertension (PH) is a global disease that affects all age groups and progresses in later years. Pregnancy with PH has a poor prognosis, and it is because of delayed diagnosis or even undiagnosed. PH gives high-risk to the mother and fetus; therefore, arranging a multidisciplinary team for pregnancy and delivery management is required. Objective : This case report was structured to emphasize mortality prevention in pregnancy with PH. Case : A 23-year-old female was admitted to the hospital with a chief complaint of dyspnea at rest. She was 34-week pregnant pregnancy and previously had a history of abortion with similar symptoms. After conducting some examinations, the patient was diagnosed with pulmonary hypertension. We planned for lung maturation for the fetus, scheduled termination, delivery method, and post-delivery care. The fetus was dead intra-uterine on day 5 of care, and the mother passed away 24 hours later. Conclusion : In summary, pregnancy was not advised in women with pulmonary hypertension. The collaboration and management by a multidisciplinary team are essential to improve outcomes if the pregnancy was still wanted.

Thromboembolic disorders in pregnancy

2016 ◽  
Author(s):  
Salma Ballal ◽  
Ian A. Greer
Keyword(s):  
Risk Factors ◽  
Low Molecular Weight Heparin ◽  
Pregnant Patient ◽  
Western World ◽  
Low Molecular Weight ◽  
Vein Thrombosis ◽  
History Of ◽  
Problem Awareness ◽  
Deep Vein ◽  
In Pregnancy

Thromboembolism in pregnancy remains a major cause of direct maternal mortality in the Western world. Thromboembolic events in pregnancy are spread across the three trimesters but the puerperium is the time of greatest risk with a relative risk of around 20-fold compared to the non-pregnant patient. When compared to the non-pregnant population where distal deep vein thrombosis is most common, most events in pregnancy are iliofemoral and left sided. Given the multi-hit nature of the problem, awareness of risk factors is important. The two most significant single risk factors in pregnancy for thromboembolism are history of previous venous thromboembolism and thrombophilia. The identification of risk factors will guide the use of thromboprophylaxis and assist diagnosis; however, objective diagnosis is required. Prophylaxis and treatment focuses on low-molecular-weight heparin, which is considered safe in pregnancy.

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