Breathless female patient claiming to be 8 months pregnant: what to expect.
The authors present a 45-year-old female patient with symptoms of chronic right ventricular failure, which were interpreted by the patient as signs of pregnancy. Sudden deterioration of clinical status, which occurred after 8 months, prompted the patient to consult a physician. Transthoracic echocardiographic examination disclosed a massive saddle pulmonary embolism with severe right ventricular dysfunction and pulmonary hypertension. The patient did not consent to proposed surgical treatment. Because of clinical and hemodynamic instability the thrombolytic therapy was introduced. The control echocardiographic examination showed only minimal reduction of thrombus size. The patient died 2 days later.
Lipiec
Piotr
P
2nd Department of Cardiology, Medical University of Łódź, Kniaziewicza 1/5, 91-347 Łódź, Poland. lipiec@ptkardio.pl
Kasprzak
Jaroslaw D
JD
D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D008875:Middle Aged; D011247:Pregnancy / Q000523:psychology*; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy