• Acta Anaesthesiol Scand · Feb 1998

    Case Reports

    Cardiac arrest due to massive pulmonary embolism following caesarean section. Successful resuscitation and pulmonary embolectomy.

    • C Ilsaas, P Husby, M E Koller, L Segadal, and H Holst-Larsen.
    • Department of Anaesthesiology, Rogaland Central Hospital, Stavanger, Norway.
    • Acta Anaesthesiol Scand. 1998 Feb 1;42(2):264-6.

    AbstractA woman developed pulmonary embolism with cardiac arrest after caesarean section. Cardiopulmonary resuscitation was performed for 45 min during which echocardiography showed right ventricular dilatation. After stabilization, but still in a critical condition, the patient was transferred by airambulance to a hospital with facilities for extracorporeal circulation. A massive embolus was removed. Some hours after extubation the patient developed respiratory insufficiency and hypovolaemia. Re-intubation was followed by severe hypotension requiring external cardiac compression for about 15 min. An emergency explorative laparotomy revealed a ruptured liver with a subcapsular haematoma. A critical illness polyneuropathy made prolonged ventilatory support necessary. She recovered without cerebral sequelae.

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