Key result
Surgical pulmonary embolectomy for acute massive pulmonary embolism during pregnancy was associated with a 15.4% maternal mortality rate and a 23% fetal mortality rate across 13 reported cases.
Why the study?
Does emergent surgical pulmonary embolectomy improve survival in a pregnant woman presenting with massive pulmonary embolism and cardiogenic shock?
Case Report (n=13)
Does emergent surgical pulmonary embolectomy improve survival in a pregnant woman presenting with massive pulmonary embolism and cardiogenic shock?
Answers are grounded in this paper and cite their sources.
Emergent surgical pulmonary embolectomy following cesarean delivery can be a successful, life-saving intervention for massive pulmonary embolism with cardiogenic shock during late pregnancy.
Acute pulmonary embolism is a leading cause of death during pregnancy and delivery in the United States. We describe the case of a 25-year-old woman who presented in cardiogenic shock in week 38 of her first pregnancy. After the emergent cesarean delivery of a healthy male neonate, the mother underwent immediate surgical pulmonary embolectomy. We confirmed the diagnosis of pulmonary embolism intraoperatively by means of transesophageal echocardiography and removed large clots from the patient's pulmonary arteries. Mother and child were doing well, 27 months later. In addition to presenting our patient's case, we discuss the other relevant reports and the options for treating massive pulmonary embolism during pregnancy.
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Saeed et al. (2014) conducted a case report in Acute massive pulmonary embolism during pregnancy (n=13). Surgical pulmonary embolectomy was evaluated on Maternal mortality. Surgical pulmonary embolectomy for acute massive pulmonary embolism during pregnancy was associated with a 15.4% maternal mortality rate and a 23% fetal mortality rate across 13 reported cases.
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