open access

Vol 15, No 2 (2020)
Case Reports
Published online: 2020-03-28
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Pulmonary embolism during pregnancy – still a diagnostic challenge ?

Joanna Pszczoła, Kinga Zujko, Anna Szpakowicz, Anna Tomaszuk-Kazberuk
DOI: 10.5603/FC.2020.0021
·
Folia Cardiologica 2020;15(2):160-163.

open access

Vol 15, No 2 (2020)
Case Reports
Published online: 2020-03-28

Abstract

The case of a woman in the 11th week of pregnancy who was diagnosed with pulmonary embolism without signs of thrombosis in ultrasound of the lower extremities. Despite the use of standard tests in the diagnosis of embolism, it was necessary to extend the diagnosis. This is a big challenge in pregnancy because of many difficulties. Aggressive diagnostic methods and anticoagulant PE treatment can be risky for the fetus and subsequent pregnancies. After angio-CT of the chest, which showed embolic material in the proximal parts of the pulmonary arteries, appropriate treatment was applied until the patient's clinical condition improved.

Abstract

The case of a woman in the 11th week of pregnancy who was diagnosed with pulmonary embolism without signs of thrombosis in ultrasound of the lower extremities. Despite the use of standard tests in the diagnosis of embolism, it was necessary to extend the diagnosis. This is a big challenge in pregnancy because of many difficulties. Aggressive diagnostic methods and anticoagulant PE treatment can be risky for the fetus and subsequent pregnancies. After angio-CT of the chest, which showed embolic material in the proximal parts of the pulmonary arteries, appropriate treatment was applied until the patient's clinical condition improved.

Get Citation

Keywords

pulmonary embolism, pregnancy, dyspnoea

About this article
Title

Pulmonary embolism during pregnancy – still a diagnostic challenge ?

Journal

Folia Cardiologica

Issue

Vol 15, No 2 (2020)

Pages

160-163

Published online

2020-03-28

DOI

10.5603/FC.2020.0021

Bibliographic record

Folia Cardiologica 2020;15(2):160-163.

Keywords

pulmonary embolism
pregnancy
dyspnoea

Authors

Joanna Pszczoła
Kinga Zujko
Anna Szpakowicz
Anna Tomaszuk-Kazberuk

References (4)
  1. Konstantinides SV, Meyer G, Becattini C, et al. ESC Scientific Document Group, The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Respir J. 2020; 41(4): 543–603 .
  2. van der Pol LM, Tromeur C, Bistervels IM, et al. Artemis Study Investigators. Pregnancy-adapted YEARS algorithm for diagnosis of suspected pulmonary embolism. N Engl J Med. 2019; 380(12): 1139–1149.
  3. Wan T, Skeith L, Karovitch A, et al. Guidance for the diagnosis of pulmonary embolism during pregnancy: consensus and controversies. Thromb Res. 2017; 157: 23–28.
  4. Goodacre S, Horspool K, Shephard N, et al. Selecting pregnant or postpartum women with suspected pulmonary embolism for diagnostic imaging: the DiPEP diagnostic study with decision-analysis modelling. Health Technol Assess. 2018; 22(47): 1–230.

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