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Anaesth Intensive Care · May 2011
Case ReportsSuccessful treatment of peripartum massive pulmonary embolism with extracorporeal membrane oxygenation and catheter-directed pulmonary thrombolytic therapy.
- L Weinberg, C Kay, F Liskaser, D Jones, S Tay, S Jaffe, S Seevanayagam, and L Doolan.
- Department of Anaesthesia, Austin Hospital, Heidelberg, Victoria, Australia. Laurence.Weinberg@austin.org.au
- Anaesth Intensive Care. 2011 May 1;39(3):486-91.
AbstractChronic thromboembolic pulmonary hypertension during pregnancy is uncommon but is associated with maternal mortality in excess of 35%. We report a case of decompensated thromboembolic pulmonary hypertension requiring emergency caesarean section and postpartum treatment with extracorporeal membrane oxygenation and thrombolytic therapy with urokinase. The use of extracorporeal membrane oxygenation, catheter-directed pulmonary thrombolytic therapy and other pulmonary vasodilators for management of this life-threatening disease is discussed.
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