Catheter-Directed Thrombolysis for Submassive Pulmonary Embolism in the Third Trimester of Pregnancy

Amanda J. Compadre, MD; Maureen Kohi, MD; R. Peter Lokken, MD, MPH; Sarah Blissett, MD; Ian S. Harris, MD; Jennifer Lucero, MD; Melissa G. Rosenstein, MD, MAS; Nasim C. Sobhani, MD

JACC: Case Reports (Oct 2020)

Catheter-Directed Thrombolysis for Submassive Pulmonary Embolism in the Third Trimester of Pregnancy

Amanda J. Compadre, MD,
Maureen Kohi, MD,
R. Peter Lokken, MD, MPH,
Sarah Blissett, MD,
Ian S. Harris, MD,
Jennifer Lucero, MD,
Melissa G. Rosenstein, MD, MAS,
Nasim C. Sobhani, MD

Affiliations

Amanda J. Compadre, MD: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco, School of Medicine, San Francisco, California; Address for correspondence: Dr. Amanda J. Compadre, University of California at San Francisco, 550 16th Street, 7th Floor, OBGYN, Mailstop 0132, San Francisco, California 94143.
Maureen Kohi, MD: Division of Vascular and Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California-San Francisco, School of Medicine, San Francisco, California
R. Peter Lokken, MD, MPH: Division of Vascular and Interventional Radiology, Department of Radiology and Biomedical Imaging, University of California-San Francisco, School of Medicine, San Francisco, California
Sarah Blissett, MD: Division of Cardiology, Department of Internal Medicine, University of California-San Francisco, School of Medicine, San Francisco, California
Ian S. Harris, MD: Division of Cardiology, Department of Internal Medicine, University of California-San Francisco, School of Medicine, San Francisco, California
Jennifer Lucero, MD: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco, School of Medicine, San Francisco, California; Department of Anesthesia and Perioperative Care, University of California-San Francisco, School of Medicine, San Francisco, California
Melissa G. Rosenstein, MD, MAS: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco, School of Medicine, San Francisco, California
Nasim C. Sobhani, MD: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California-San Francisco, School of Medicine, San Francisco, California

Journal volume & issue: Vol. 2, no. 12
pp. 1899 – 1904

Abstract

Read online

A 37-year-old woman presented with chest pain and shortness of breath in the third trimester of pregnancy. Diagnostic imaging demonstrated a saddle pulmonary embolism, severe impairment of right ventricular function, and an extensive deep venous thrombus. She underwent catheter-directed thrombolysis with tissue plasminogen activator and delivered a healthy infant at term. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

Keywords