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Surg Today. 2008;38(1):59-61. Epub 2007 Dec 24.

Emergency pulmonary embolectomy during the second trimester of pregnancy: report of a case.

Author information

1
Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan.

Abstract

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.

PMID:
18085366
DOI:
10.1007/s00595-007-3570-0
[Indexed for MEDLINE]

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