Transesophageal Echocardiographic Diagnosis of Pulmonary Thromboembolism during Cesarean Delivery: A case report.
10.4097/kjae.2008.54.1.117
- Author:
Choong Sik OH
1
;
Sang Won KWAK
;
Tae Yop KIM
;
Nam Sik WOO
;
In Sook SOHN
;
Hyun Keun CHEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, Ulsan University School of Medicine, Gangneung, Korea. taeyop@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
cesarean delivery;
pulmonary thromboembolism;
transesophageal echocardiography
- MeSH:
Cardiopulmonary Resuscitation;
Echocardiography;
Echocardiography, Transesophageal;
Hemodynamics;
Organothiophosphorus Compounds;
Oxygenators, Membrane;
Pulmonary Artery;
Pulmonary Embolism;
Thrombosis
- From:Korean Journal of Anesthesiology
2008;54(1):117-122
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute pulmonary thromboembolism (PTE) is life-threatening and difficult to diagnose. However, echocardiography can help diagnose and monitor PTE by visualizing the thrombus and assessing hemodynamic changes. Here we report the usefulness of transesophageal echocardiography (TEE) in a diagnosis of maternal PTE during cesarean delivery by showing a thromboembolus in pulmonary artery. In addition, TEE also prompted effective cardiopulmonary resuscitation for recurrent hemodynamic collapse due to a massive PTE, as well as rapid introduction of an extracorporeal membrane oxygenator to treat maternal hypoxia.
