Massive Acute Pulmonary Embolism in A Pregnant Patient Who Underwent Thrombolytic Treatment in Emergency Service

Authors : Sema Bayrak, Vildan Özer, Selman Yeniocak

Pages : 88-90

Doi:10.38175/phnx.843828

View : 91 | Download : 474

Publication Date : 2021-07-01

Article Type : Other

Abstract :Acute pulmonary embolism (APE) is one of the most important preventable mortality causes during pregnancy. In this case report, a 24-week pregnant patient who were diagnosed with APE and who underwent thrombolytic treatment was discussed in the light of a literature review. The 27-year-old female patient, who was pregnant, applied to the emergency service with sudden shortness of breath and chest pain. Since the hemodynamic condition of the patient was unstable, no imaging could be carried out in the radiology unit. As a result of the right ventricular load symptoms detected in bedside Transthoracic Echocardiography (ECO), massive APE was diagnosed, and thrombolytic treatment was initiated. APE should be considered in patients who are admitted to emergency services with sudden shortness of breath and chest pain complaints. Patients who are excessively unstable for imaging in the radiology unit should be evaluated quickly with bedside transthoracic ECO in terms of massive embolism.
Keywords : Akut pulmoner emboli, Gebelik, Trombolitik tedavi