Pulmonary Embolism in Pregnancy

Author(s):  
Robert Egerman
2007 ◽  
Vol 6 (3) ◽  
pp. 95-101
Author(s):  
Alastair Proudfoot ◽  
◽  
Helen Yarranton ◽  
Simon Gibbs ◽  
Derek Bell ◽  
...  

Acute pulmonary embolism (PE) is a common presentation on the acute medical take. In our previous article in Vol 6 issue 1 we discussed the diagnostic approach to this condition. This article concentrates on the treatment of PE, including guidance for treatment of PE in pregnancy and cancer. This article also discusses the role of alternative anticoagulants, thrombolysis, surgery and inferior vena caval filters.


2011 ◽  
Vol 127 (1) ◽  
pp. 58-59 ◽  
Author(s):  
Emma L. Holden ◽  
Harpreet Ranu ◽  
Abhijat Sheth ◽  
Muriel S. Shannon ◽  
Brendan P. Madden

2017 ◽  
Vol 151 ◽  
pp. S107 ◽  
Author(s):  
T.E. van Mens ◽  
L.J.J. Scheres ◽  
P.G. de Jong ◽  
M.M.G. Leeflang ◽  
M. Nijkeuter ◽  
...  

2010 ◽  
Vol 1 (5-6) ◽  
pp. 361-372 ◽  
Author(s):  
Tilo Niemann ◽  
Guillaume Nicolas ◽  
Hans W. Roser ◽  
Jan Müller-Brand ◽  
Georg Bongartz

2020 ◽  
Author(s):  
Samuel Z. Goldhaber

Venous thromboembolism, which involves venous thrombosis and pulmonary embolism, is a leading cause of morbidity and mortality in hospitalized patients and is being seen with increasing frequency in outpatients. This chapter discusses the risk factors, etiology, classification, pathophysiology, natural history, prognosis, diagnosis (including venous thrombosis, recurrent venous thrombosis, and pulmonary embolism), prophylaxis, and treatment of venous thromboembolism (including the pharmacology of antithrombotic agents), as well as venous thromboembolism in pregnancy and miscellaneous thromboembolic disorders (including thrombosis of unusual sites).  This review contains 8 figures, 16 tables, and 79 references. Keywords: Venous thromboembolism, pulmonary embolism, deep vein thrombosis, embolectomy, thrombolysis, hypercoagulability, duplex ultrasonography, D-dimer, anticoagulation


2018 ◽  
Vol 03 (02/03) ◽  
pp. 204-208
Author(s):  
Anuradha Alagandala ◽  
Daya Vaswani ◽  
Vuduthala Bharadwaj ◽  
Kousalya Chakravarthy

AbstractChronic rheumatic heart disease is still the leading cause of heart disease complicating pregnancy in the developing countries. The physiologic changes in pregnancy and stress induced by the increase in cardiac output can cause asymptomatic patients with mitral stenosis to decompensate, especially in the third trimester. Severity of mitral stenosis is reflected by the decrease in the valve area and increase in the right ventricular systolic pressures (RVSPs). Venous thromboembolism (VTE) is two to five times more common in the postpartum period, and the risk is high with cesarean delivery. Pulmonary embolism in pregnancy can cause severe maternal morbidity and mortality. We describe two cases of severe mitral stenosis complicating pregnancy with grossly elevated RVSP. The first case is the successful management of a second gravida, presenting with severe mitral stenosis with RVSP 80 mm Hg, and the second, a fatal case of a 26-year-old para 1, live 1, delivered by cesarean section, presenting with massive fatal pulmonary embolism on 13th postoperative day (POD) with RVSP 90 mm Hg. A multidisciplinary approach involving the cardiologist, obstetrician, and obstetric anesthesiologist is crucial for management of severe mitral stenosis complicating pregnancy, to decrease the maternal morbidity and mortality during peripartum period.


2021 ◽  
pp. 209-222
Author(s):  
Joshua I. Rosenbloom ◽  
Eyal Herzog ◽  
Donna R. Zwas

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