title: Cardiac arrest during a twin birth caesarean delivery.
abstract: The case of a 35 year-old pregnant woman with a right ovarian vein thrombosis complicated with a floating thrombus in the inferior vena cava reaching the right atrium, is presented. The patient had a cardiac arrest due to a pulmonary embolism during a twin-birth caesarean delivery. Discussion includes the pathophysiology of this condition and management options in a cardiac arrest secondary to this aetiology, recovered with stable blood pressure, highlighting the role of thrombolytic therapy in the Postoperative Care Unit in this situation.
authors.affiliation: Unidad de Reanimación y Cuidados Intensivos, Hospital HM Modelo, A Coruña, España. Electronic address: franpampin@yahoo.es.
authors.forename: F R
authors.initials: FR
authors.lastname: Pampín-Huerta
authors.affiliation: Unidad de Reanimación y Cuidados Intensivos, Hospital HM Modelo, A Coruña, España.
authors.forename: D
authors.initials: D
authors.lastname: Moreira-Gómez
authors.affiliation: Unidad de Reanimación y Cuidados Intensivos, Hospital HM Modelo, A Coruña, España.
authors.forename: M L
authors.initials: ML
authors.lastname: Lozano-Requelme
authors.affiliation: Servicio de Neumología, Hospital HM Modelo, A Coruña, España.
authors.forename: F
authors.initials: F
authors.lastname: Molina-Nieto
authors.affiliation: Servicio de Neumología, Hospital HM Modelo, A Coruña, España.
authors.forename: L
authors.initials: L
authors.lastname: Fontán-García-Boente
authors.affiliation: Unidad de Reproducción Asistida, Hospital HM Maternidad Belén, A Coruña, España.
authors.forename: M
authors.initials: M
authors.lastname: Moreira-Pacheco
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006323:Heart Arrest; D006801:Humans; D011247:Pregnancy; D011655:Pulmonary Embolism; D013927:Thrombosis; D014682:Vena Cava, Inferior / Q000601:surgery
keywords: Cardiac arrest; Cardiac thrombo; Cesarean section; Cesárea; Embolia pulmonar; Ovarian vein thrombosis; Paro cardiaco; Pulmonary embolism; Terapia trombolítica; Thrombolytic therapy; Trombo cardiaco; Trombosis de la vena ovárica