Multidisciplinary management of massive pulmonary embolism on term pregnancy: the mother or the baby?
Journal Title: JOURNAL OF FUNCTIONAL VENTILATION AND PULMONOLOGY - Year 2018, Vol 9, Issue 28
Abstract
Introduction. Pulmonary embolism (PE) during pregnancy is the leading cause of maternal and fetal deaths. We report the case of a pregnant patient who has been successfully treated for massive pulmonary embolism associated with successive complications. Observation. 25-year-old patient, pregnant at term, admitted to the cardiology hospital of the Lyon Civil Hospital, for a massive pulmonary embolism. She had a caesarean section complicated by retro peritoneal hematoma with partial colonic necrosis, due to bleeding from an ovarian vein ligated thereafter, and then an ECMO for cardiorespiratory failure. A surgical embolectomy was performed in the absence of weaning assistance, there was a good evolution. Conclusion. While waiting for clear and comprehensive recommendations, the management of PE in pregnant women remains case by case. On the other hand, it requires multidisciplinary collaboration.
Authors and Affiliations
AMADOU Daouda
Keywords
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- EP ID EP570348
- DOI 10.12699/jfvpulm.9.28.2018.59
- Views 67
- Downloads 0
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