Systemic thrombolysis markedly regressed a rare IVC to pulmonary artery thrombus in a 26-week pregnant woman with Protein C deficiency, enabling safe delivery.
Systemic thrombolysis guided by multimodality imaging can be successfully utilized for massive, continuous IVC-to-pulmonary artery thrombosis during high-risk pregnancy.
Absolute Event Rate: 0% vs 0%
A 26-week pregnant woman was found to have a rare continuous thrombus from the iliac veins through the IVC into the right heart and pulmonary artery. Echocardiography and CMR clearly defined the entire “snake-like” thrombus. Systemic thrombolysis led to marked regression, and evaluation revealed Protein C deficiency. The patient remained stable and delivered safely, highlighting the value of multimodality imaging and the role of individualized thrombolysis in high-risk pregnancy-associated thrombosis.
Yousuf et al. (Sat,) reported a other. Systemic thrombolysis markedly regressed a rare IVC to pulmonary artery thrombus in a 26-week pregnant woman with Protein C deficiency, enabling safe delivery.