Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study
Objective: We report a case of pregnancy following lung transplantation (LT) for idiopathic pulmonary arterial hypertension (IPAH) in Japan. Case Report: A female developed IPAH at 14 years of age and underwent a successful bilateral living-donor lobar LT from her parents at 19 years of age (gravida...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924002894 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841553892707401728 |
|---|---|
| author | Asuka Hamuro Yoshifumi Kasuga Saki Saito Hiroshi Uchida Takahiro Hiraide Yohei Yamada Takeshi Arimitsu Hiroshi Date Hiroyuki Fukushima Mamoru Tanaka |
| author_facet | Asuka Hamuro Yoshifumi Kasuga Saki Saito Hiroshi Uchida Takahiro Hiraide Yohei Yamada Takeshi Arimitsu Hiroshi Date Hiroyuki Fukushima Mamoru Tanaka |
| author_sort | Asuka Hamuro |
| collection | DOAJ |
| description | Objective: We report a case of pregnancy following lung transplantation (LT) for idiopathic pulmonary arterial hypertension (IPAH) in Japan. Case Report: A female developed IPAH at 14 years of age and underwent a successful bilateral living-donor lobar LT from her parents at 19 years of age (gravida 2, para 0). At the age of 40 years, the patient became pregnant via artificial insemination. At 28 weeks of gestation, polyhydramnios and a fetal goiter were detected on transabdominal ultrasound. The patient was diagnosed with deep vein thrombosis and pulmonary embolism. The patient underwent emergency cesarean section to deliver a male neonate weighing 1340 g (−0.41SD) at 30 weeks of gestation, with an Apgar score of 5/5 (1/5 min). Conclusion: To our knowledge, this is the first reported case of a successful pregnancy following LT in Japan. Specialists should work together to manage pregnancies following LT. |
| format | Article |
| id | doaj-art-6c455b0dd4564ae6b3d93489c6a98fb6 |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-6c455b0dd4564ae6b3d93489c6a98fb62025-01-09T06:12:53ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-01641131133Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case studyAsuka Hamuro0Yoshifumi Kasuga1Saki Saito2Hiroshi Uchida3Takahiro Hiraide4Yohei Yamada5Takeshi Arimitsu6Hiroshi Date7Hiroyuki Fukushima8Mamoru Tanaka9Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, Japan; Corresponding author. Department of Obstetrics and Gynecology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Cardiology, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Pediatric Surgery, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Thoracic Surgery, Kyoto University Graduate School of Medicine, Tokyo 160-8582, JapanDepartment of Thoracic Surgery, Kyoto University Graduate School of Medicine, Tokyo 160-8582, JapanDepartment of Pediatrics, Keio University School of Medicine, Tokyo 160-8582, JapanDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, JapanObjective: We report a case of pregnancy following lung transplantation (LT) for idiopathic pulmonary arterial hypertension (IPAH) in Japan. Case Report: A female developed IPAH at 14 years of age and underwent a successful bilateral living-donor lobar LT from her parents at 19 years of age (gravida 2, para 0). At the age of 40 years, the patient became pregnant via artificial insemination. At 28 weeks of gestation, polyhydramnios and a fetal goiter were detected on transabdominal ultrasound. The patient was diagnosed with deep vein thrombosis and pulmonary embolism. The patient underwent emergency cesarean section to deliver a male neonate weighing 1340 g (−0.41SD) at 30 weeks of gestation, with an Apgar score of 5/5 (1/5 min). Conclusion: To our knowledge, this is the first reported case of a successful pregnancy following LT in Japan. Specialists should work together to manage pregnancies following LT.http://www.sciencedirect.com/science/article/pii/S1028455924002894Deep vein thrombosisFetal goiterLung transplantationPregnancyPulmonary embolism |
| spellingShingle | Asuka Hamuro Yoshifumi Kasuga Saki Saito Hiroshi Uchida Takahiro Hiraide Yohei Yamada Takeshi Arimitsu Hiroshi Date Hiroyuki Fukushima Mamoru Tanaka Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study Taiwanese Journal of Obstetrics & Gynecology Deep vein thrombosis Fetal goiter Lung transplantation Pregnancy Pulmonary embolism |
| title | Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study |
| title_full | Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study |
| title_fullStr | Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study |
| title_full_unstemmed | Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study |
| title_short | Pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension: A case study |
| title_sort | pregnancy complicated by fetal goiter following lung transplantation for idiopathic pulmonary arterial hypertension a case study |
| topic | Deep vein thrombosis Fetal goiter Lung transplantation Pregnancy Pulmonary embolism |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924002894 |
| work_keys_str_mv | AT asukahamuro pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT yoshifumikasuga pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT sakisaito pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT hiroshiuchida pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT takahirohiraide pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT yoheiyamada pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT takeshiarimitsu pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT hiroshidate pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT hiroyukifukushima pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy AT mamorutanaka pregnancycomplicatedbyfetalgoiterfollowinglungtransplantationforidiopathicpulmonaryarterialhypertensionacasestudy |