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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
K Fukukawa H Ohteki K Hirahara Y Narita S Koga (2001) ArticleTitleThe use of argatroban as an anticoagulant for cardiopulmonary bypass in cardiac operations J Thorac Cardiovasc Surg 122 1255–6 Occurrence Handle10.1067/mtc.2001.116940
NS Macklon IA Greer (1996) ArticleTitleVenous thromboembolic disease in obstetrics and gynaecology: the Scottish experience Scot Med J 41 83–6 Occurrence Handle8807703 Occurrence Handle1:STN:280:BymH3c7jt1M%3D
SZ Goldhaber (2004) ArticleTitlePulmonary embolism Lancet 363 1295–305 Occurrence Handle15094276 Occurrence Handle10.1016/S0140-6736(04)16004-2
S Blegvad O Lund TT Nielsen I Guldholt (1989) ArticleTitleEmergency embolectomy in a patient with massive pulmonary embolism during second trimester pregnancy Acta Obstet Gynecol Scand 68 267–70 Occurrence Handle2618611 Occurrence Handle10.3109/00016348909021001 Occurrence Handle1:STN:280:By%2BC2cznslM%3D
JJ Bechtel MC Mountford WE Ellinwood (2005) ArticleTitleMassive pulmonary embolism in pregnancy treated with catheter fragmentation and local thrombolysis Obstet Gynecol 106 1158–60 Occurrence Handle16260553
I Fukuda K Fukui M Minakawa M Koyama I Ichinoseki Y Suzuki (2006) ArticleTitleRescue surgical embolectomy for fatal pulmonary embolism in patient with intracranial hemorrhage Ann Thorac Surg 81 735–6 Occurrence Handle16427891 Occurrence Handle10.1016/j.athoracsur.2004.10.061
M Sakaguchi H Kitahara T Seto T Furusawa D Fukui N Yanagiya et al. (2005) ArticleTitleSurgery for acute type A aortic dissection in pregnant patients with Marfan syndrome Eur J Cardiothorac Surg 28 280–5 Occurrence Handle15939618 Occurrence Handle10.1016/j.ejcts.2005.02.047
RT Arnoni AS Arnoni RC Bonini FS DeAlmeida CA Neto JJ Dinkhuysen et al. (2003) ArticleTitleRisk factors associated with cardiac surgery during pregnancy Ann Thorac Surg 76 1605–8 Occurrence Handle14602295 Occurrence Handle10.1016/S0003-4975(03)01188-3
M Khandelwal J Rasanen A Ludormirski P Addonizio EA Reece (1996) ArticleTitleEvaluation of fetal and uterine hemodynamics during maternal cardiopulmonary bypass Obstet Gynecol 88 667–71 Occurrence Handle8841246 Occurrence Handle10.1016/0029-7844(96)00129-9 Occurrence Handle1:STN:280:BymH3sfptFU%3D
M Jahangiri J Clarke F Prefumo C Pumphrey D Ward (2003) ArticleTitleCardiac surgery during pregnancy: pulsatile or nonpulsatile perfusion? J Thorac Cardiovasc Surg 126 894–5 Occurrence Handle14502186 Occurrence Handle10.1016/S0022-5223(03)00607-X
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Taniguchi, S., Fukuda, I., Minakawa, M. et al. Emergency Pulmonary Embolectomy During the Second Trimester of Pregnancy: Report of a Case. Surg Today 38, 59–61 (2008). https://doi.org/10.1007/s00595-007-3570-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-007-3570-0