Publication Date

4-1-2014

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-12-2692

PMID

24808782

Publication Date(s)

April 2014

Language

English

PMCID

PMC4004495

PubMedCentral® Posted Date

4-1-2014

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Cesarean section, embolectomy/methods, pregnancy complications, cardiovascular/diagnosis/surgery, pregnancy outcome, pregnancy trimester, third, pulmonary embolism/complications/surgery, risk assessment, thrombosis/surgery, treatment outcome, ventricular dysfunction, right/etiology

Abstract

Acute pulmonary embolism is a leading cause of death during pregnancy and delivery in the United States. We describe the case of a 25-year-old woman who presented in cardiogenic shock in week 38 of her first pregnancy. After the emergent cesarean delivery of a healthy male neonate, the mother underwent immediate surgical pulmonary embolectomy. We confirmed the diagnosis of pulmonary embolism intraoperatively by means of transesophageal echocardiography and removed large clots from the patient's pulmonary arteries. Mother and child were doing well, 27 months later. In addition to presenting our patient's case, we discuss the other relevant reports and the options for treating massive pulmonary embolism during pregnancy.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.