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High-Risk Pulmonary Embolism During Labor: JACC Patient Care Pathways.
Poor, Hooman; Serrao, Gregory; Grapsa, Julia; Chandrashekhar, Y S; Bianco, Angela; Lookstein, Robert A; Fuster, Valentin.
Afiliação
  • Poor H; Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Serrao G; The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Grapsa J; Department of Cardiovascular Sciences, Guys and St Thomas NHS Trust, Long, United Kingdom.
  • Chandrashekhar YS; University of Minnesota, Minneapolis, Minnesota, USA.
  • Bianco A; Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Lookstein RA; Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Fuster V; The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
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.
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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

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