Successful management of labor and delivery in primary pulmonary hypertension

Patients with pulmonary hypertension often do poorly when subjected to the stress of major surgery or pregnancy. Recently we have shown improved hemodynamics and prolonged survival in patients with primary pulmonary hypertension who respond to high doses of nifedipine.¹ We report the first case of a pregnant patient with primary pulmonary hypertension tested with intravenous adenosine and treated with high-dose oral nifedipine, with an uncomplicated labor and delivery.