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Int J Obstet Anesth · Oct 2006
Case ReportsCardiorespiratory symptoms during pregnancy--not always pulmonary embolism.
- P J Evans, K Rajappan, and G M Stocks.
- Queen Charlotte's & Chelsea Hospital, London, UK.
- Int J Obstet Anesth. 2006 Oct 1; 15 (4): 320-4.
AbstractWe describe a case of sudden onset severe cardiorespiratory compromise in a parturient at 36 weeks' gestation. She received treatment for infection, pulmonary oedema and pulmonary embolism before a diagnosis of aortic dissection was made. Successful repair was undertaken following caesarean section. We discuss the difficulties of diagnosis of cardiorespiratory symptoms and the potential hazards of instituting therapy before a definitive diagnosis is reached. The value of a multidisciplinary team approach and the use of portable echocardiography in the investigation of both pulmonary embolism and cardiac disease are emphasised.
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