title: Successful treatment of massive pulmonary embolism in the 38th week of pregnancy.
abstract: In 1998, a 32-year-old woman in week 38 of pregnancy was referred to our hospital because of swelling of the lower extremities and dyspnea at rest. A massive pulmonary embolism and thrombi in the right and left atria were detected. After a successful cesarean section, emergent pulmonary embolectomy was performed with the use of cardiopulmonary bypass. Both the mother and the fetus recovered without severe complications. Postoperatively, activated protein S deficiency was detected.
authors.affiliation: Division of Cardiovascular Surgery, Osaka Prefectural Hospital, Osaka University Graduate School of Medicine, Osaka, Japan. funakoshi@surg1.med.osaka-u.ac.jp
authors.forename: Yasunobu
authors.initials: Y
authors.lastname: Funakoshi
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kato
authors.forename: Toru
authors.initials: T
authors.lastname: Kuratani
authors.forename: Norihisa
authors.initials: N
authors.lastname: Shigemura
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Kaneko
mesh_terms: D000328:Adult; D002585:Cesarean Section; D017548:Echocardiography, Transesophageal; D017128:Embolectomy; D004630:Emergencies; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000601:surgery*; D011263:Pregnancy Trimester, Third; D018455:Protein S Deficiency / Q000150:complications / Q000175:diagnosis; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000601:surgery*; D013927:Thrombosis / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis