%0 Journal Article
%T High-Risk Pulmonary Embolism During Labor: JACC Patient Care Pathways.
%A Poor H
%A Serrao G
%A Grapsa J
%A Chandrashekhar YS
%A Bianco A
%A Lookstein RA
%A Fuster V
%J JACC Case Rep
%V 6
%N 0
%D Jan 2023 18
%M 36704055
暂无%R 10.1016/j.jaccas.2022.10.001
%X While in labor, a 37-year-old woman developed acute dyspnea, hypoxemia, and tachycardia. Transthoracic echocardiography demonstrated severe right ventricular dilation and dysfunction, raising the suspicion of acute pulmonary embolism. The patient indeed had bilateral pulmonary embolism, necessitating percutaneous thrombectomy. Her course was complicated by another saddle pulmonary embolus, heparin-induced thrombocytopenia, and COVID-19 infection. This clinical case illustrates the importance of prompt diagnosis of acute pulmonary embolism in a peripartum female patient, the multidisciplinary approach of management, and how to approach clinical complications such as heparin-induced thrombocytopenia. Furthermore, long-term management in acute pulmonary embolism is presented.