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Case Reports
. 2007 Mar;48(2):269-76.
doi: 10.1536/ihj.48.269.

Massive pulmonary thromboembolism in pregnancy rescued using transcatheter thrombectomy

Tetsuya Sato  1 , Renpei Kobatake, Ryo Yoshioka, Soichiro Fuke, Tetsuya Ikeda, Hironori Saito, Kiyoaki Maekawa, Toru Hioka
Affiliations
Free article
Case Reports

Massive pulmonary thromboembolism in pregnancy rescued using transcatheter thrombectomy

Tetsuya Sato et al. Int Heart J. 2007 Mar.
Free article

Abstract

We report a rescued 37-year-old woman in her 30(th) week of gestation with massive pulmonary thromboembolism who was admitted to our cardiac care unit with progressive dyspnea and 2 episodes of syncope. Helical chest CT showed massive pulmonary thromboembolism of both pulmonary arteries. Although 26,000 U/day of heparin was administered following insertion of a temporary filter, hemodynamic evaluation documented no improvement. Since pulmonary artery (PA) pressure increased from 62/22 mmHg to 80/24 mmHg just after an emergency cesarean section on day 2, an emergency transcatheter thrombectomy was performed and it showed decreased PA pressure following extensive thrombus aspiration. Mother and baby were discharged with no complications.

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