High-Risk Pulmonary Embolism During Labor: JACC Patient Care Pathways.
JACC Case Rep
; 6: 101650, 2023 Jan 18.
Article
in English
| MEDLINE | ID: covidwho-2244300
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
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Prognostic study
Language:
English
Journal:
JACC Case Rep
Year:
2023
Document Type:
Article
Affiliation country:
J.jaccas.2022.10.001
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