Open AccessSurgical embolectomy in a 34-week pregnant woman with high risk pulmonary embolism and haemodynamic instability
Author(s) -
Giulia Maj,
Nicola Strobelt,
Andrea Audo,
Anna Maria Arena,
Giovanni Parodi,
Vittorio Aguggia,
Massimo Serra,
Maria Giribaldi,
Ermelinda Martuscelli,
Fabrizio Racca
Publication year - 2022
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_244_20
Subject(s) - medicine , embolectomy , pulmonary embolism , pregnancy , surgery , embolism , cardiology , genetics , biology
Pulmonary embolism represents the leading cause of maternal mortality in developed countries. The optimal treatment of high-risk pulmonary embolism with cardiovascular instability and at high hemorrhagic risk is still debated but surgical embolectomy represents an effective option. We describe the case of a 35-year-old woman in week 34 of pregnancy who was referred to our hospital because of exertional dyspnea and tachycardia and a few hours later became hypotensive and hypoxic. Pulmonary embolism was detected by performing an angio-computed tomography (CT) scan. After a successful cesarean section, emergent embolectomy was performed without inducing uterine hemorrhage. Both mother and the newborn recovered without postoperative sequelae.