High-Risk Pulmonary Embolism During Labor: JACC Patient Care Pathways.
JACC Case Rep
; 6: 101650, 2023 Jan 18.
Article
em En
| MEDLINE
| ID: mdl-36704055
ABSTRACT
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.
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
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
/
Guideline
/
Risk_factors_studies
Idioma:
En
Revista:
JACC Case Rep
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos