[Anesthetic management of cesarean section in a patient with pulmonary embolism due to protein S deficiency diagnosed postoperatively].
A 27-year-old pregnant woman with pulmonary embolism was scheduled for cesarean section. She received anticoagulant therapy with continuous infusion of heparin and prophylactic placement of an inferior vena cava (IVC) filter. Heparin was discontinued 7 hours before operation. Spinal anesthesia using hyperbaric bupivacaine 12 mg was performed and the operation was completed uneventfully. She was given a diagnosis of protein S deficiency after discharge. Preoperative anticoagulant therapy and placement of IVC filter may be effective in preventing new pulmonary embolism.
Department of Anesthesiology, Japanese Red Cross Nagoya First Hospital, Nagoya.
Takashi
T
Kitao
Yui
Y
Ueno
Ayano
A
Sekikawa
Yumiko
Y
Tatsumi
Mashiho
M
Nakashima
Kojiro
K
Kan
Takako
T
Tomita
Tomotaka
T
Kitagawa
Koichi
K
Oguri
Shuichi
S
Yokota
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis; D018455:Protein S Deficiency / Q000150:complications / Q000175:diagnosis*; D011655:Pulmonary Embolism / Q000150:complications* / Q000517:prevention & control