ABSTRACT
Presentamos el caso de una mujer gestante de 35 años con una trombosis de vena ovárica derecha complicada con un trombo flotante en la vena cava inferior que alcanzaba la aurícula derecha. Comenzó con una parada cardiaca secundaria a tromboembolismo pulmonar durante la cesárea de un parto gemelar. Describimos brevemente la fisiopatología de esta entidad y exponemos las opciones de manejo de una parada cardiaca de esta etiología recuperada con presión arterial estable, destacando el papel de la terapia trombolítica en la Unidad de Reanimación en esta situación (AU)
The case of a 35 year-old pregnant woman with a right ovarian vein thrombosis complicated with a floating thrombus in the inferior vena cava reaching the right atrium, is presented. The patient had a cardiac arrest due to a pulmonary embolism during a twin-birth caesarean delivery. Discussion includes the pathophysiology of this condition and management options in a cardiac arrest secondary to this aetiology, recovered with stable blood pressure, highlighting the role of thrombolytic therapy in the Postoperative Care Unit in this situation (AU)
Subject(s)
Humans , Female , Pregnancy , Adult , Pregnancy, Twin , Heart Arrest/drug therapy , Heart Arrest/prevention & control , Heart Arrest/rehabilitation , Venous Thrombosis/complications , Venous Thrombosis/drug therapy , Pulmonary Embolism/drug therapy , Anesthesia/methods , Arterial Pressure , Respiration, Artificial/methods , Respiration, Artificial , Angiography/methods , Echocardiography/methodsABSTRACT
The case of a 35 year-old pregnant woman with a right ovarian vein thrombosis complicated with a floating thrombus in the inferior vena cava reaching the right atrium, is presented. The patient had a cardiac arrest due to a pulmonary embolism during a twin-birth caesarean delivery. Discussion includes the pathophysiology of this condition and management options in a cardiac arrest secondary to this aetiology, recovered with stable blood pressure, highlighting the role of thrombolytic therapy in the Postoperative Care Unit in this situation.
