• Surgery today · Jan 2008

    Case Reports

    Emergency pulmonary embolectomy during the second trimester of pregnancy: report of a case.

    • Satoshi Taniguchi, Ikuo Fukuda, Masahito Minakawa, Ken-Ichi Watanabe, Kazuyuki Daitoku, and Yasuyuki Suzuki.
    • Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan.
    • Surg. Today. 2008 Jan 1;38(1):59-61.

    AbstractWe report a case of acute massive pulmonary thromboembolism, which occurred during the second trimester of pregnancy in a 35-year-old woman with thrombocytopenia and anemia secondary to myelodysplastic syndrome. We performed successful emergency pulmonary embolectomy, under cardiopulmonary bypass, using argatroban as an anticoagulant. An intra-aortic balloon pump was used to maintain placental blood flow. The patient recovered completely and was later delivered of a healthy baby. Thus, pulmonary embolectomy saved both the mother and the fetus.

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