High-Risk Pulmonary Embolism During Labor:
CT, computed tomography
CTA, computed tomography angiogram
CTPA, computed tomography pulmonary angiography
ECMO, extracorporeal membrane oxygenation
HIT, heparin-induced thrombocytopenia
LV, left ventricle
PE, pulmonary embolism
PVR, pulmonary vascular resistance
RV, right ventricle
SBP, systolic blood pressure
TTE, transthoracic echocardiogram
multimodality imaging
pregnancy
pulmonary embolism
Journal
JACC. Case reports
ISSN: 2666-0849
Titre abrégé: JACC Case Rep
Pays: Netherlands
ID NLM: 101757292
Informations de publication
Date de publication:
18 Jan 2023
18 Jan 2023
Historique:
received:
07
09
2022
revised:
04
10
2022
accepted:
06
10
2022
entrez:
27
1
2023
pubmed:
28
1
2023
medline:
28
1
2023
Statut:
epublish
Résumé
While in labor, a 37-year-old woman developed acute dyspnea, hypoxemia, and tachycardia. Transthoracic echocardiography demonstrated severe right ventricular dilation and dysfunction, raising the suspicion of acute pulmonary embolism. The patient indeed had bilateral pulmonary embolism, necessitating percutaneous thrombectomy. Her course was complicated by another saddle pulmonary embolus, heparin-induced thrombocytopenia, and COVID-19 infection. This clinical case illustrates the importance of prompt diagnosis of acute pulmonary embolism in a peripartum female patient, the multidisciplinary approach of management, and how to approach clinical complications such as heparin-induced thrombocytopenia. Furthermore, long-term management in acute pulmonary embolism is presented.
Identifiants
pubmed: 36704055
doi: 10.1016/j.jaccas.2022.10.001
pii: S2666-0849(22)00764-1
pmc: PMC9871077
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
101650Informations de copyright
© 2023 by the American College of Cardiology Foundation. Published by Elsevier.
Déclaration de conflit d'intérêts
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
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