Key result
Emergency pulmonary embolectomy was successfully performed on a 41-year-old female with a massive 34-cm-long pulmonary saddle embolism and cardiac arrest following a cesarean section.
Case Report (n=1)
Successful surgical embolectomy is a viable and potentially life-saving intervention for massive pulmonary saddle embolism complicated by cardiac arrest in the postpartum setting.
Supports embolectomy consideration in postpartum massive PE arrest; hypothesis-generating and should not yet change practice.
A 41-year-old female underwent an uneventful cesarean section, which was followed by a pulmonary saddle embolism complicated by cardiac arrest. This case shows that successful embolectomy is possible, despite a potentially lethal pulmonary saddle embolism, 34 cm in length, and intra-operative cardiopulmonary resuscitation. We report our case and discuss the anesthetic considerations based on the literature.
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Lee et al. (2009) conducted a case report in Pulmonary saddle embolism post-cesarean section (n=1). Emergency pulmonary embolectomy was evaluated on Patient survival and recovery. Emergency pulmonary embolectomy was successfully performed on a 41-year-old female with a massive 34-cm-long pulmonary saddle embolism and cardiac arrest following a cesarean section.
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