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Int J Obstet Anesth · Apr 2013
Case ReportsThrombolysis for the management of massive pulmonary embolism in pregnancy.
- M M Tawfik, M E Taman, A A Motawea, and E Abdel-Hady.
- Department of Anesthesia and Surgical Intensive Care, Mansoura University Hospitals, Mansoura, Egypt. m2tawfik@hotmail.com
- Int J Obstet Anesth. 2013 Apr 1; 22 (2): 149-52.
AbstractMassive pulmonary embolism in pregnancy is a major cause of maternal mortality; the management is challenging, and often requires aggressive therapy. Thrombolysis has been used, often with favorable outcome, but has not been previously reported in a patient presenting with an intrauterine death. We present a 29-year-old nulliparous patient who had a massive pulmonary embolus associated with fetal death in the third trimester of pregnancy. Diagnosis of pulmonary embolus was aided by transthoracic echocardiography and the patient was successfully treated with streptokinase.Copyright © 2013 Elsevier Ltd. All rights reserved.
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