Successful thrombolysis of right heart emboli-in-transit causing cardiac arrest during caesarean section
| Autor: | Supriya Bulchandani, Rabia Imtiaz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Journal of Obstetric Anaesthesia and Critical Care, Vol 2, Iss 1, Pp 38-39 (2012) |
| Druh dokumentu: | article |
| ISSN: | 2249-4472 55094759 |
| DOI: | 10.4103/2249-4472.99319 |
| Popis: | We report a rare case of successful thrombolysis of right heart emboli-in-transit causing cardiac arrest, during caesarean section in a 42-year-old primigravida. This was diagnosed by intra-operative echocardiography. Return to spontaneous circulation was achieved. This was followed by massive post-partum haemorrhage managed conservatively. The lady was discharged home with a Greenfield Inferior Vena Caval filter and Warfarin. Systemic thrombolytic therapy is a challenging decision to make but is usually recommended if it is not contraindicated and the thrombi are demonstrated in more than one cardiac chamber, entailing a higher risk of surgical intervention. However, the potential for massive obstetric bleeding and further side effects must be considered and adequate strategies and resources should be available. |
| Databáze: | Directory of Open Access Journals |
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