1. Pregnancy with hypoplastic left lung complicated by pneumothorax and pulmonary embolism.
- Author
-
Zainudin, Lily D., Abdul Hafidz, Muhammad I., Zakaria, Ahmad F., Mohd Zim, Mohd A., Ismail, Ahmad I., and Abdul Rani, Mohammed F.
- Subjects
- *
PREGNANCY , *HYPOPLASTIC left heart syndrome , *DISEASE complications , *PNEUMOTHORAX , *PULMONARY embolism , *TUBERCULOSIS , *THERAPEUTICS - Abstract
We report a case of a 34-year-old lady with past history of asthma and pulmonary tuberculosis, who presented 5 weeks pregnant with acute dyspnea. Her chest X-ray showed left-sided complete lung collapse and concomitant right-sided pneumothorax. The pneumothorax was initially managed conservatively with a chest tube but due to its persistence despite suction, was subsequently changed to a PneumostatTM, with which she was later discharged. She had a normal echocardiography (ejection fraction [ EF] 67%) at 5 weeks of gestation but developed pulmonary hypertension ( EF 55%, pulmonary arterial pressure 40.7 mmHg) as the pregnancy progressed. She delivered a healthy baby at 35 weeks via elective lower section caesarean section with spinal anesthesia. We followed her up postnatally and noted the presence of left-sided pulmonary embolism, hypoplastic left lung, and left pulmonary artery. The management of this complex case involved a multidisciplinary effort between general medical, respiratory, obstetric, and cardiothoracic teams. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF