• Giovanni Saeed, Michael Möller, Jörg Neuzner, Rainer Gradaus, Werner Stein, Uwe Langebrake, Thomas Dimpfl, Meradjoddin Matin, and Ali Peivandi.
• Departments of Cardiovascular Surgery (Drs. Matin, Peivandi, and Saeed), Internal Medicine II and Cardiology (Drs. Gradaus, Möller, and Neuzner), Gynecology and Obstetrics (Drs. Dimpfl and Stein), and Anesthesiology and Intensive Care Medicine (Dr. Langebrake), Klinikum Kassel GmbH, 34125 Kassel, Germany.
• Tex Heart Inst J. 2014 Apr 1;41(2):188-94.

AbstractAcute pulmonary embolism is a leading cause of death during pregnancy and delivery in the United States. We describe the case of a 25-year-old woman who presented in cardiogenic shock in week 38 of her first pregnancy. After the emergent cesarean delivery of a healthy male neonate, the mother underwent immediate surgical pulmonary embolectomy. We confirmed the diagnosis of pulmonary embolism intraoperatively by means of transesophageal echocardiography and removed large clots from the patient's pulmonary arteries. Mother and child were doing well, 27 months later. In addition to presenting our patient's case, we discuss the other relevant reports and the options for treating massive pulmonary embolism during pregnancy.

40 keywords...

hide…