Surgical treatment of thromboembolia in the heart right atrium in pregnant women

Abstract

Two clinical cases of surgical treatment of cardiac right-chamber thromboembolism in pregnant women are described. Thromboembolism was diagnosed during a routine examination. In the first clinical case, considering the late pregnancy, a thromboembolectomy was performed under artificial circulation after surgical delivery.In the second case, thrombus removal from the right atrium was performed on a working heart, without interruption of pregnancy. The surgical and postsurgical period proceeded without any specific features and the patients were discharged from the hospital without any complications. These clinical cases show that it is possible to remove thrombus from the right heart chambers without the use of extracorporeal circulation, which is also safe for the mother and the fetus.

Keywords

• pregnancy and pulmonary embolism
• pulmonary embolism
• surgical pulmonary thrombectomy
• pulmonary hypertension
• thromboembolectomy from the right atrium
• thromboembolectomy from the right atrium in pregnant women