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Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature

BACKGROUND: Thrombotic pulmonary embolism (TPE) is one of the most critical diseases in obstetrics but is rarely reported in caesarean section (CS) because TPE patients in CS have a high risk of death and are difficult to diagnose. This case report of TPE during CS was recorded by transthoracic echo...

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Autores principales: Jiang, Lan, Liang, Wei-Xiang, Yan, Yi, Wang, Shou-Ping, Dai, Li, Chen, Dun-Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9131231/
https://www.ncbi.nlm.nih.gov/pubmed/35665114
http://dx.doi.org/10.12998/wjcc.v10.i13.4226
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author Jiang, Lan
Liang, Wei-Xiang
Yan, Yi
Wang, Shou-Ping
Dai, Li
Chen, Dun-Jin
author_facet Jiang, Lan
Liang, Wei-Xiang
Yan, Yi
Wang, Shou-Ping
Dai, Li
Chen, Dun-Jin
author_sort Jiang, Lan
collection PubMed
description BACKGROUND: Thrombotic pulmonary embolism (TPE) is one of the most critical diseases in obstetrics but is rarely reported in caesarean section (CS) because TPE patients in CS have a high risk of death and are difficult to diagnose. This case report of TPE during CS was recorded by transthoracic echocardiography (TTE) and can provide a reference for the differential diagnosis of critical illnesses in CS. CASE SUMMARY: A 37-year-old pregnant woman with rheumatic heart disease (RHD), gravida 5 and para 1 (G5P1), presented for emergency CS at 33 wk and 3 d of gestation under general anesthesia because of acute heart failure, pulmonary hypertension and arrhythmia. After placental removal during CS, TTE revealed a nascent thrombus in the inferior vena cava (IVC) that elongated, detached and fragmented leading to acute thromboembolic events and acute TPE. This report presents the whole process and details of TPE during CS and successful rescue without any sequelae in the patient. This case gives us new ideas for the diagnosis of death or cardiovascular accidents during CS in pregnant women with heart disease and the detailed presentation of the rapid development of TPE may also elucidate new ideas for treatment. This case also highlighted the importance of prophylactic anticoagulation in the management of heart disease during pregnancy. CONCLUSION: Pregnancy with heart failure could trigger inferior vena cava (IVC)-origin TPE during CS. Detection and timely treatment can avoid serious consequences.
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spelling pubmed-91312312022-06-04 Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature Jiang, Lan Liang, Wei-Xiang Yan, Yi Wang, Shou-Ping Dai, Li Chen, Dun-Jin World J Clin Cases Case Report BACKGROUND: Thrombotic pulmonary embolism (TPE) is one of the most critical diseases in obstetrics but is rarely reported in caesarean section (CS) because TPE patients in CS have a high risk of death and are difficult to diagnose. This case report of TPE during CS was recorded by transthoracic echocardiography (TTE) and can provide a reference for the differential diagnosis of critical illnesses in CS. CASE SUMMARY: A 37-year-old pregnant woman with rheumatic heart disease (RHD), gravida 5 and para 1 (G5P1), presented for emergency CS at 33 wk and 3 d of gestation under general anesthesia because of acute heart failure, pulmonary hypertension and arrhythmia. After placental removal during CS, TTE revealed a nascent thrombus in the inferior vena cava (IVC) that elongated, detached and fragmented leading to acute thromboembolic events and acute TPE. This report presents the whole process and details of TPE during CS and successful rescue without any sequelae in the patient. This case gives us new ideas for the diagnosis of death or cardiovascular accidents during CS in pregnant women with heart disease and the detailed presentation of the rapid development of TPE may also elucidate new ideas for treatment. This case also highlighted the importance of prophylactic anticoagulation in the management of heart disease during pregnancy. CONCLUSION: Pregnancy with heart failure could trigger inferior vena cava (IVC)-origin TPE during CS. Detection and timely treatment can avoid serious consequences. Baishideng Publishing Group Inc 2022-05-06 2022-05-06 /pmc/articles/PMC9131231/ /pubmed/35665114 http://dx.doi.org/10.12998/wjcc.v10.i13.4226 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Jiang, Lan
Liang, Wei-Xiang
Yan, Yi
Wang, Shou-Ping
Dai, Li
Chen, Dun-Jin
Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature
title Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature
title_full Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature
title_fullStr Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature
title_full_unstemmed Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature
title_short Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature
title_sort thrombotic pulmonary embolism of inferior vena cava during caesarean section: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9131231/
https://www.ncbi.nlm.nih.gov/pubmed/35665114
http://dx.doi.org/10.12998/wjcc.v10.i13.4226
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