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Cardiac arrest during a twin birth caesarean delivery
F R Pampín-Huerta1, D Moreira-Gómez1, M L Lozano-Requelme1
1Unidad de Reanimación y Cuidados Intensivos, Hospital HM Modelo, A Coruña, España.
Revista Espanola De Anestesiologia Y Reanimacion
|July 12, 2015
Summary
A pregnant woman experienced cardiac arrest from a pulmonary embolism during a C-section due to ovarian vein thrombosis. Thrombolytic therapy in the Postoperative Care Unit was key to her recovery.
Area of Science:
- Cardiology
- Obstetrics
- Vascular Surgery
Background:
- Pregnancy increases the risk of venous thromboembolism.
- Ovarian vein thrombosis is a rare but serious complication during pregnancy.
- Inferior vena cava (IVC) extension of thrombus poses a significant risk of pulmonary embolism (PE).
Observation:
- A 35-year-old pregnant woman presented with right ovarian vein thrombosis.
- A free-floating thrombus extended into the inferior vena cava and right atrium.
- The patient suffered cardiac arrest during a twin-birth cesarean delivery due to PE.
Findings:
- Successful resuscitation from cardiac arrest.
- Management included thrombolytic therapy in the Postoperative Care Unit.
- The patient achieved stable blood pressure post-intervention.
Implications:
- Highlights the critical role of prompt diagnosis and management of ovarian vein thrombosis in pregnancy.
- Emphasizes the effectiveness of thrombolytic therapy in managing massive PE with cardiac arrest.
- Underscores the importance of multidisciplinary care in high-risk obstetric patients.
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