Emergency pulmonary embolectomy during the second trimester of pregnancy: report of a case.
We report a case of acute massive pulmonary thromboembolism, which occurred during the second trimester of pregnancy in a 35-year-old woman with thrombocytopenia and anemia secondary to myelodysplastic syndrome. We performed successful emergency pulmonary embolectomy, under cardiopulmonary bypass, using argatroban as an anticoagulant. An intra-aortic balloon pump was used to maintain placental blood flow. The patient recovered completely and was later delivered of a healthy baby. Thus, pulmonary embolectomy saved both the mother and the fetus.
Taniguchi
Satoshi
S
Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan.
Fukuda
Ikuo
I
Minakawa
Masahito
M
Watanabe
Ken-Ichi
K
Daitoku
Kazuyuki
K
Suzuki
Yasuyuki
Y
D000208:Acute Disease; D000328:Adult; D002315:Cardiopulmonary Bypass; D017128:Embolectomy / Q000379:methods*; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000601:surgery*; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed