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Management of Acute Saddle Pulmonary Embolism in Pregnancy Following Fetal Surgery

Patrick J Connell1, Leonardo A Marquez Roa2, Jorge Araujo-Duran3

  • 1Anesthesiology and Perioperative Medicine, Cleveland Clinic, Cleveland, USA.

Cureus
|March 25, 2024
PubMed

A 33-year-old gravidity three parity three (G3P3) woman at 34 weeks of pregnancy underwent fetal surgery to repair an open lumbosacral myelomeningocele at 22 weeks gestation and experienced preterm premature rupture of membranes as a result. She developed a saddle pulmonary embolus with signs of right heart strain while on prolonged bed rest. She was treated emergently with aspiration thrombectomy and suprarenal inferior vena cava (IVC) filter placement, followed by an uncomplicated cesarean delivery thereafter.

Keywords:
anticoagulationbleeding in pregnancycritical care obstetricsfetal surgeryhigh-risk pregnancyintravenous thrombolytic therapyivc thrombusmassive pulmonary embolismpulmonary embolismtherapeutic anticoagulation

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