Use of assisted reproductive technologies and anesthesia in a patient with primary pulmonary hypertension.

OBJECTIVE

To report the use of assisted reproductive technologies (ART) in a patient with primary pulmonary hypertension.

DESIGN

Case report.

SETTING

University medical center.

PATIENT(S): A 28-year-old nulliparous woman with primary pulmonary hypertension (PPH) treated with continuous intravenous epoprostenol.

INTERVENTION(S): Ovarian stimulation, egg retrieval, general anesthesia, and pregnancy by surrogate carrier.

MAIN OUTCOME MEASURE(S): Successful ART cycle(s) in patient with PPH and successful gestational carrier pregnancy.

RESULT(S): Successful pregnancy by surrogate gestational carrier.

CONCLUSION(S): Assisted reproductive technologies and a surrogate gestational carrier were a successful reproductive option for a patient with primary pulmonary hypertension. Ovarian stimulation, oocyte retrieval, and general anesthesia are not without risk but were well tolerated in this case. Multidisciplinary involvement in the planning and administration of such procedures is necessary for optimal outcomes in these patients.