Pregnancy and acute pulmonary embolism: A case report

Santos, Luís; Andrade, Cristina; Rodrigues, Bruno; Moreira, Davide; Delgado, Anne; Manso, Pedro Gil; Gama, Pedro; Currais, Luis; Dionísio, Odete; Ribeiro, Nuno; Santos, Oliveira

doi:10.1016/j.repce.2012.03.002

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…A timely diagnosis of APE remains totally difficult since it is overlapped with other complications and is camouflaged by the physiological changes in pregnancy [ 16 ]. In the case of a parturient with signs of sudden cardiopulmonary arrest during C-section, the initial differential diagnosis includes anaphylaxis, pulmonary embolism (PE), and acute coagulopathy and even cerebral hemorrhage due to amniotic fluid embolism, or cerebral hemorrhage due to severe preeclampsia.…”

Section: Discussionmentioning

confidence: 99%

“…According to a report of Elgendy, the rates of in-hospital mortality were almost 200-fold higher among those who had APE (29.3 vs 0.13, per 1000 pregnancy-related, P < 0.001) and the rates of in-hospital mortality have not improved (2.6% in 2007 vs 2.5% in 2015, P trends = 0.74) [ 15 ]. If APE occurs before delivery, both maternal–fetal outcomes are dramatically poor [ 16 ]. Clinically, the prognosis of PE is better than AFE.…”

Section: Introductionmentioning

confidence: 99%

“…PE can occur before delivery, during delivery, and in the postpartum period [ 16 , 21 ]. However, the rarest is PE during cesarean section (C-section).…”

Section: Introductionmentioning

confidence: 99%

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Successfully conservative management of the uterus in acute pulmonary embolism during cesarean section for placenta previa: a case report from Tu Du Hospital, Vietnam and literature review

Vuong,

Pham,

Bui

et al. 2024

Int J Emerg Med

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Background Cardiopulmonary collapse is a catastrophic event in cesarean section, which leads to adverse outcomes for both the mother and the fetus. Pulmonary embolism is one of the rare etiologies of this entity. We herein reported the successful management of acute embolism pulmonary associated with cesarean delivery on a healthy pregnant woman at our tertiary referral hospital. Case presentation A full-term pregnant woman hospitalized for planned cesarean delivery due to placenta previa without cardiorespiratory diseases. She was scheduled uneventfully for a planned cesarean section. After placental delivery, the patient spontaneously fell into cardiopulmonary collapse and her vital signs deteriorated rapidly. The obstetricians promptly completed the cesarean section and performed all procedures to prevent the PPH and preserve the uterus. At the same time, the anesthesiologists continued to carry out advanced heart-lung resuscitation in order to control her vital signs. After surgery, the multidisciplinary team assessed the patient and found a thrombus in her pulmonary circulation. Therefore, the patient was managed with therapeutic anticoagulation. The patient recovered in good clinical condition and was discharged after 2 weeks without any complications. Conclusions The diagnosis of acute pulmonary embolism is extremely difficult due to uncommon occurrence, sudden onset, and non-specific presentation. Awareness of this life-threatening pathology during cesarean delivery should be raised. Interdisciplinary assessment must be essentially established in this life-threatening condition. After the whole conventional management, uterine conservation may be acceptable where applicable. Further data is required to encourage this finding.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%