{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:07:33Z","timestamp":1780920453805,"version":"3.54.1"},"reference-count":14,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,10,27]]},"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Pregnancies complicated by pulmonary hypertension are associated with a high rate of maternal morbidity and mortality. Pulmonary endarterectomy is a curative treatment for pulmonary hypertension in select patients with chronic thromboembolic pulmonary hypertension. Limited data exist regarding the maternal and perinatal outcomes following pulmonary endarterectomy.<\/jats:p>\n               <jats:p>We present the case of a patient in her 20s with antiphospholipid antibody syndrome and chronic thromboembolic pulmonary hypertension who underwent pulmonary endarterectomy and subsequently carried two pregnancies. Her cardiopulmonary status remained stable throughout both pregnancies. Her first pregnancy was complicated by HELLP syndrome requiring induction of labour at 30 weeks, and her second child was born at term. In summary, this patient\u2019s course provides cautious optimism that a curative pulmonary endarterectomy may allow a patient to avoid complications of pulmonary hypertension during pregnancy.<\/jats:p>","DOI":"10.1136\/bcr-2023-256158","type":"journal-article","created":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T12:06:22Z","timestamp":1699963582000},"page":"e256158","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Two pregnancies in a patient following pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1397-802X","authenticated-orcid":false,"given":"Mary Ashley","family":"Cain","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, University of South Florida, Tampa, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Lee","sequence":"additional","affiliation":[{"name":"Women's Care Florida, Clearwater, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spencer","family":"Kuper","sequence":"additional","affiliation":[{"name":"Tri-State Perinatology, Newburgh, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Sinkey","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, The University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,11,14]]},"reference":[{"key":"2025082622544502000_16.11.e256158.1","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1097\/AOG.0000000000003497","article-title":"ACOG practice bulletin No.212: pregnancy and heart 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