Effect of multidisciplinary team (MDT) centred on pregnant women with pulmonary hypertension on treatment and outcomes of pregnancy

Table4 Characterization of maternal mortality in pulmonary hypertension

Patients	Etiology	sPAP (mmHg)	Delivery timing (weeks)	Delivery mode	Anesthesia	Rescue therapy	Timing after delivery	Cause of death
1	PDA	105	34	Urgent cesarean	Epidural-	dopamine + adrenaline + ventilator	3 days	Severe preeclampsia, heart failure associated with multiple organ failure
2	PDA^a	89	35	Urgent cesarean	General-	nitric oxide + epinephrine + dopamine isoproterenol + norepinephrineventilator + CPR	10 days	Persistent hypoxemia, circulatory collapse and hypoxic encephalopathy
3	VSD	57	33	Urgent cesarean	General-	epinephrine + dopamine + ventilator + CPR	within 24 h	Multiple organ failure, postpartum hemorrhage(1500 ml)
4	ASD	87	38	Urgent cesarean	General-	dopamine + epinephrine + dopamine + ventilator	10 days	Severe preeclampsia, circulatory collapse, hypoxic encephalopathy
5	VSD^b	84	33	Planned cesarean	Epidural-	Nebulized iloprost + Nitric oxide + defibrillation	2 days	Sudden ventricular fibrillation with RV systolic pressure as high as 132 mmHg

^aleft-to-right shunting developed into right-to-left shunting or bidirectional shunting(Eisenmenger syndrome;^bpostoperative pulmonary arterial hypertension; ASD atrial septal defect; PDA patent ductus arteriosus; VSD ventricular septal defect; sPAP pulmonary artery systolic pressure; CPR cardiopulmonary resuscitation

ISSN: 1471-2466