Review Article

Pulmonary Hypertension in Pregnancy: Critical Care Management

Table 1

Venice clinical classification of pulmonary hypertension (2003).

(1) Pulmonary arterial hypertension (PAH)
 (1.1) Idiopathic (IPAH)
 (1.2) Familial (FPAH)
 (1.3) Associated with (APAH)
  (1.3.1) Collagen vascular disease
  (1.3.2) Congenital systemic-to-pulmonary shunts
  (1.3.3) Portal hypertension
  (1.3.4) HIV infection
  (1.3.5) Drugs and toxins
  (1.3.6) Other (thyroid disorders, glycogen storage disease,
    Gaucher disease, hereditary hemorrhagic
    telangiectasia, hemoglobinopathies,
    myeloproliferative disorders, splenectomy)
 (1.4) Associated with venous or capillary involvement
  (1.4.1) Pulmonary venoocclusive disease (PVOD)
  (1.4.2) Pulmonary capillary hemangiomatosis (PCH)
 (1.5) Persistent pulmonary hypertension of the newborn
(2) Pulmonary hypertension with left-heart disease
 (2.1) Left-sided atrial or ventricular heart disease
 (2.2) Left-sided valvular heart disease
(3) Pulmonary hypertension associated with lung diseases and/or
 hypoxemia
 (3.1) Chronic obstructive pulmonary disease
 (3.2) Interstitial lung disease
 (3.3) Sleep-disordered breathing
 (3.4) Alveolar hypoventilation disorders
 (3.5) Chronic exposure to high altitude
 (3.6) Developmental abnormalities
(4) Pulmonary hypertension owing to chronic thrombotic and/or
 embolic disease
 (4.1) Thromboembolic obstruction of proximal pulmonary
   arteries
 (4.2) Thromboembolic obstruction of distal pulmonary
   arteries
 (4.3) Nonthrombotic pulmonary embolism (tumor, parasites,
   foreign material)
(5) Miscellaneous
 Sarcoidosis, histiocytosis X, lymphangiomatosis, compression
 of pulmonary vessels (adenopathy, tumor, fibrosing
 mediastinitis)