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

被引:23
|
作者
Taniguchi, Satoshi [1 ]
Fukuda, Ikuo [1 ]
Minakawa, Masahito [1 ]
Watanabe, Ken-Ichi [1 ]
Daitoku, Kazuyuki [1 ]
Suzuki, Yasuyuki [1 ]
机构
[1] Hirosaki Univ, Sch Med, Dept Cardiovasc Surg, Hirosaki, Aomori 0368562, Japan
关键词
pulmonary thromboembolism; pregnancy; embolectomy; argatroban;
D O I
10.1007/s00595-007-3570-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
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页码:59 / 61
页数:3
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