A Successful Delivery of a Woman with Pulmonary Arterial Hypertension: Under Close Observation and without Medications

Received: 2013.9.8, Revised: 2013.9.12, Accepted: 2013.9.12 Correspondence to: Hyun Ho Shin, MD Address: Department of Internal Medicine, Cheil General Hospital & Women’s Healthcare Center, Kwandong University College of Medicine, 17 Seoae-ro 1-gil, Jung-gu, Seoul 100-380, Korea Tel: +82-2-2000-7245, Fax: +82-2-2000-7895 E-mail: hho.shin@cgh.co.kr because of pulmonary hypertensive crises, pulmonary thrombosis, or refractory right heart failure. The risk probably increases with more elevated pulmonary pressures. However, even moderate forms of pulmonary vascular disease can worsen during pregnancy as a result of the decrease in systemic vascular resistance and overload of the right ventricle, and no safe cut-off value is known. If pregnancy occurs, termination used to be offered. Therefore, it is important to discuss effective methods of birth control with women with PAH of child-bearing potential, although the preferred method is not clear. Hwang et al. and Min et al. reported successful deliveries of pulmonary hypertension while using ❙Case Report❙ Vol. 19, No. 3, September 2013 ISSN 2233-8136, eISSN 2233-8454, http://dx.doi.org/10.5646/jksh.2013.19.3.90 Copyright 2013. The Korean Society of Hypertension c A Successful Delivery of a Woman with Pulmonary Arterial Hypertension: Under Close Observation and without Medications