Echocardiographic diagnosis and surgical treatment of postpartum pulmonary embolism

Rosenberg, Joel; Lefor, Alan Kawarai; Kenien, Gregory; Marvasti, Mehdi A.; Obeid, Anis I.

doi:10.1016/0003-4975(90)90324-y

Cited by 8 publications

(2 citation statements)

References 7 publications

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“…Echocardiography allows for a rapid bedside diagnosis of pulmonal embolism in the presence of a massive embolic event (3). Echocardiography was carried out during the resuscitation and showed the acute cor pulmonale with septa1 shift.…”

Section: Discussionmentioning

confidence: 99%

Cardiac arrest due to massive pulmonary embolism following caesarean section. Successful resuscitation and pulmonary embolectomy

Ilsaas

Husby

Koller

et al. 1998

Acta Anaesthesiol Scand

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A woman developed pulmonary embolism with cardiac arrest after caesarean section. Cardiopulmonary resuscitation was performed for 45 min during which echocardiography showed right ventricular dilatation. After stabilization, but still in a critical condition, the patient was transferred by airambulance to a hospital with facilities for extracorporeal circulation. A massive embolus was removed. Some hours after extubation the patient developed respiratory insufficiency and hypovolaemia. Re-intubation was followed by severe hypotension requiring external cardiac compression for about 15 min. An emergency explorative laparotomy revealed a ruptured liver with a subcapsular haematoma. A critical illness polyneuropathy made prolonged ventilatory support necessary. She recovered without cerebral sequelae.

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Section: Discussionmentioning

confidence: 99%

Cardiac arrest due to massive pulmonary embolism following caesarean section. Successful resuscitation and pulmonary embolectomy

Ilsaas

Husby

Koller

et al. 1998

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

show abstract

“…Sometimes thrombus is visualized by TTE 15 and more frequently by transoesophageal echocardiography. 16,17 The echocardiographic manifestations of dilated cardiomyopathy are LV dilatation with an end diastolic diameter >2.7 cm/m 2 , a low EF (<30%) and mitral regurgitation due to mitral annulus dilatation. 10 Mild pulmonary hypertension and an abnormal -restrictivemitral inflow pattern may be found using Doppler method.…”

Section: Ca As Se E 2mentioning

confidence: 99%