Managing Pulmonary Embolism With Right Ventricular Thrombus in In Vitro Fertilization-Related Pregnancy: A Clinical Insight.
| Autor: | Ba-Shammakh SA; General Surgery, Princess Basma Teaching Hospital, Irbid, JOR., Al-Zughali EA; Internal Medicine, The Islamic Hospital, Amman, JOR., Al-Shami NA; Internal Medicine, The Islamic Hospital, Amman, JOR., Al-Darobi AH; Banner MD Anderson Cancer Center, Banner Gateway Medical Center, Arizona, USA., Abuaisha HA; Internal Medicine, The Islamic Hospital, Amman, JOR., Karabsheh S; Internal Medicine, The Islamic Hospital, Amman, JOR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Dec 31; Vol. 15 (12), pp. e51383. Date of Electronic Publication: 2023 Dec 31 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.51383 |
| Abstrakt: | This case study provides an insightful examination of the management of high-risk pulmonary embolism (PE) in a 27-year-old pregnant patient following in vitro fertilization (IVF). Overlapping symptoms of PE and typical pregnancy manifestations, coupled with concerns about radiation exposure from diagnostic imaging, presented unique diagnostic challenges. Despite the heightened risk of thrombosis during pregnancy and elevated D-dimer levels, a conservative approach was strategically employed. This involved therapeutic anticoagulation using low-molecular-weight heparin, leading to significant patient improvement without the need for invasive interventions. This case highlights the imperative for a judicious yet proactive approach in managing PE among pregnant patients, meticulously considering both maternal and fetal health risks. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Ba-shammakh et al.) |
| Databáze: | MEDLINE |
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