کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2762626 1150720 2012 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Massive pulmonary embolism in a patient undergoing Cesarean delivery
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Massive pulmonary embolism in a patient undergoing Cesarean delivery
چکیده انگلیسی

A case of a 40 year old, 86 kg, G7P1 woman with a history of hypercoagulability, at 39.1 weeks’ gestation, who presented for elective Cesarean section during spinal anesthesia, is presented. During closure of the uterus, she became unresponsive and went into asystolic cardiac arrest. During resuscitation, clinical signs suggested pulmonary embolism, as confirmed by transesophageal echocardiogram. She was anticoagulated and taken to the Cardiac Catheterization Laboratory; there, clot lysis was performed, resulting in massive bleeding. Embolization of the uterine arteries was attempted and was only partially successful in reducing the bleeding. She then underwent Cesarean hysterectomy to control the bleeding. She had a full recovery and was discharged on the sixth postoperative day.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Anesthesia - Volume 24, Issue 7, November 2012, Pages 582–585
نویسندگان
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