AI Article Synopsis
- - A 37-year-old pregnant woman in her 30th week had a serious condition called massive pulmonary thromboembolism, causing difficulty breathing and fainting spells, leading to her admission to a cardiac care unit.
- - A CT scan revealed blood clots in both pulmonary arteries, and despite high doses of heparin and a temporary filter, her condition didn't improve, showing dangerously high pulmonary artery pressure.
- - After an emergency cesarean section and a successful thrombectomy procedure that relieved the clots, both mother and baby were discharged without any complications.
Article Abstract
We report a rescued 37-year-old woman in her 30(th) week of gestation with massive pulmonary thromboembolism who was admitted to our cardiac care unit with progressive dyspnea and 2 episodes of syncope. Helical chest CT showed massive pulmonary thromboembolism of both pulmonary arteries. Although 26,000 U/day of heparin was administered following insertion of a temporary filter, hemodynamic evaluation documented no improvement. Since pulmonary artery (PA) pressure increased from 62/22 mmHg to 80/24 mmHg just after an emergency cesarean section on day 2, an emergency transcatheter thrombectomy was performed and it showed decreased PA pressure following extensive thrombus aspiration. Mother and baby were discharged with no complications.
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| http://dx.doi.org/10.1536/ihj.48.269 | DOI Listing |
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