Severe Pulmonary Hypertension in the Pregnant Patient
摘要
Susan Mullins had a national name as an Obstetrical Anesthesiologist. She developed shortness of breath 6 months before she conceived. An echocardiogram was consistent with pulmonary hypertension. A PA catheter determined that her pressure was 70 mmHg. At 15 weeks of gestation, the pulmonary hypertension would worsen. She was strongly advised to terminate the pregnancy. She did not. By her third trimester, the PA pressure escalated to impair right ventricular function.