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Surgical embolectomy in a 34-week pregnant woman with high risk pulmonary embolism and haemodynamic instability


1 Department of Anesthesia and Intensive Care, Azienda Ospedaliera SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
2 Department of Gynecology and Obstetrics, Azienda Ospedaliera SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
3 Department of Cardiac Surgery, Azienda Ospedaliera SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy

Correspondence Address:
Giulia Maj
Department of Anesthesia and Intensive Care, SantfAntonio e Biagio e Cesare Arrigo Hospital, Via Venezia 16, Alessandria - 15121
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_244_20

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Year : 2022  |  Volume : 25  |  Issue : 2  |  Page : 225-228

 

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Pulmonary embolism represents the leading cause of maternal mortality in developed countries. The optimal treatment of high-risk pulmonary embolism with cardiovascular instability and at high hemorrhagic risk is still debated but surgical embolectomy represents an effective option. We describe the case of a 35-year-old woman in week 34 of pregnancy who was referred to our hospital because of exertional dyspnea and tachycardia and a few hours later became hypotensive and hypoxic. Pulmonary embolism was detected by performing an angio-computed tomography (CT) scan. After a successful cesarean section, emergent embolectomy was performed without inducing uterine hemorrhage. Both mother and the newborn recovered without postoperative sequelae.






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1 Department of Anesthesia and Intensive Care, Azienda Ospedaliera SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
2 Department of Gynecology and Obstetrics, Azienda Ospedaliera SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
3 Department of Cardiac Surgery, Azienda Ospedaliera SS, Antonio e Biagio e Cesare Arrigo, Alessandria, Italy

Correspondence Address:
Giulia Maj
Department of Anesthesia and Intensive Care, SantfAntonio e Biagio e Cesare Arrigo Hospital, Via Venezia 16, Alessandria - 15121
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_244_20

Rights and Permissions

Pulmonary embolism represents the leading cause of maternal mortality in developed countries. The optimal treatment of high-risk pulmonary embolism with cardiovascular instability and at high hemorrhagic risk is still debated but surgical embolectomy represents an effective option. We describe the case of a 35-year-old woman in week 34 of pregnancy who was referred to our hospital because of exertional dyspnea and tachycardia and a few hours later became hypotensive and hypoxic. Pulmonary embolism was detected by performing an angio-computed tomography (CT) scan. After a successful cesarean section, emergent embolectomy was performed without inducing uterine hemorrhage. Both mother and the newborn recovered without postoperative sequelae.






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