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Surgery Today

, Volume 38, Issue 1, pp 59–61 | Cite as

Emergency Pulmonary Embolectomy During the Second Trimester of Pregnancy: Report of a Case

  • Satoshi Taniguchi
  • Ikuo Fukuda
  • Masahito Minakawa
  • Ken-ichi Watanabe
  • Kazuyuki Daitoku
  • Yasuyuki Suzuki
Case Reports

Abstract

We report a case of acute massive pulmonary thromboembolism, which occurred during the second trimester of pregnancy in a 35-year-old woman with thrombocytopenia and anemia secondary to myelodysplastic syndrome. We performed successful emergency pulmonary embolectomy, under cardiopulmonary bypass, using argatroban as an anticoagulant. An intra-aortic balloon pump was used to maintain placental blood flow. The patient recovered completely and was later delivered of a healthy baby. Thus, pulmonary embolectomy saved both the mother and the fetus.

Key words

Pulmonary thromboembolism Pregnancy Embolectomy Argatroban 

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Copyright information

© Springer-Verlag Tokyo 2008

Authors and Affiliations

  • Satoshi Taniguchi
    • 1
  • Ikuo Fukuda
    • 1
  • Masahito Minakawa
    • 1
  • Ken-ichi Watanabe
    • 1
  • Kazuyuki Daitoku
    • 1
  • Yasuyuki Suzuki
    • 1
  1. 1.Department of Cardiovascular SurgeryHirosaki University School of MedicineAomoriJapan

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