{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T21:21:24Z","timestamp":1760908884988,"version":"3.28.0"},"reference-count":44,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>Acute pulmonary embolism is a leading cause of death during pregnancy and delivery in the United States. We describe the case of a 25-year-old woman who presented in car-diogenic shock in week 38 of her first pregnancy. After the emergent cesarean delivery of a healthy male neonate, the mother underwent immediate surgical pulmonary embolec-tomy. We confirmed the diagnosis of pulmonary embolism intraoperatively by means of transesophageal echocardiography and removed large clots from the patient's pulmonary arteries. Mother and child were doing well, 27 months later. In addition to presenting our patient's case, we discuss the other relevant reports and the options for treating massive pulmonary embolism during pregnancy.<\/jats:p>","DOI":"10.14503\/thij-12-2692","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T16:43:24Z","timestamp":1396370604000},"page":"188-194","source":"Crossref","is-referenced-by-count":9,"title":["Emergent Surgical Pulmonary Embolectomy in a Pregnant Woman: Case Report and Literature Review"],"prefix":"10.14503","volume":"41","author":[{"given":"Giovanni","family":"Saeed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"M\u00f6ller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Neuzner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainer","family":"Gradaus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Werner","family":"Stein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uwe","family":"Langebrake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Dimpfl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meradjoddin","family":"Matin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Peivandi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"941","key":"i0730-2347-41-2-188-b1","series-title":"Br J Radiol","first-page":"441","article-title":"Short communication: imaging pulmonary embolism in pregnancy: what is the most appropriate imaging protocol?","volume":"79","year":"2006","unstructured":"Matthews\n              S.\n            \n          \n          Short communication: imaging pulmonary embolism in pregnancy: what is the most appropriate imaging protocol?\n          Br J Radiol\n          2006;79(941):441\u20134."},{"issue":"5\u20136","key":"i0730-2347-41-2-188-b2","series-title":"Pathophysiol Haemost Thromb","first-page":"322","article-title":"Thrombosis during pregnancy: risk factors, diagnosis and treatment","volume":"32","year":"2002","unstructured":"Pabinger\n              I\n            , GrafenhoferH.\n          Thrombosis during pregnancy: risk factors, diagnosis and treatment. Pathophysiol Haemost Thromb2002;32(5\u20136):322\u20134."},{"issue":"2","key":"i0730-2347-41-2-188-b3","series-title":"Radiology","first-page":"635","article-title":"American Thoracic Society documents: an official American Thoracic Society\/Society of Thoracic Radiology clinical practice guideline--evaluation of suspected pulmonary embolism in pregnancy","volume":"262","year":"2012","unstructured":"Leung\n              AN\n            , BullTM, JaeschkeR, LockwoodCJ, BoisellePM, HurwitzLM, et al. American Thoracic Society documents: an official American Thoracic Society\/Society of Thoracic Radiology clinical practice guideline--evaluation of suspected pulmonary embolism in pregnancy. Radiology2012;262(2): 635\u201346."},{"issue":"2","key":"i0730-2347-41-2-188-b4","series-title":"MMWR Surveill Summ","first-page":"1","article-title":"Pregnancy-related mortality surveillance--United States, 1991--1999","volume":"52","year":"2003","unstructured":"Chang\n              J\n            , Elam-EvansLD, BergCJ, HerndonJ, FlowersL, SeedKA, SyversonCJ.\n          Pregnancy-related mortality surveillance--United States, 1991--1999. MMWR Surveill Summ2003;52(2):1\u20138."},{"issue":"2","key":"i0730-2347-41-2-188-b5","series-title":"Int Heart J","first-page":"269","article-title":"Massive pulmonary thromboembolism in pregnancy rescued using transcatheter thrombectomy","volume":"48","year":"2007","unstructured":"Sato\n              T\n            , KobatakeR, YoshiokaR, FukeS, IkedaT, SaitoH, et al. Massive pulmonary thromboembolism in pregnancy rescued using transcatheter thrombectomy. 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Early and late clinical outcomes of pulmonary embolectomy for acute massive pulmonary embolism. Ann Thorac Surg2010;90(6):1747\u201352."},{"issue":"1","key":"i0730-2347-41-2-188-b15","series-title":"Tex Heart Inst J","first-page":"41","article-title":"Acute massive pulmonary embolism with cardiopulmonary resuscitation: management and results","volume":"34","year":"2007","unstructured":"Konstantinov\n              IE\n            , SaxenaP, KoniuszkoMD, AlvarezJ, NewmanMA.\n          Acute massive pulmonary embolism with cardiopulmonary resuscitation: management and results. 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Anesth Analg2004;99(1):12\u20136."},{"issue":"1","key":"i0730-2347-41-2-188-b21","series-title":"Eur J Echocardiogr","first-page":"2","article-title":"Echocardiographic diagnosis of pulmonary embolism: a rise and fall of McConnell sign?","volume":"6","year":"2005","unstructured":"Torbicki\n              A.\n            \n          \n          Echocardiographic diagnosis of pulmonary embolism: a rise and fall of McConnell sign?\n          Eur J Echocardiogr\n          2005;6(1):2\u20133."},{"issue":"12","key":"i0730-2347-41-2-188-b22","series-title":"Intensive Care Med","first-page":"2147","article-title":"Natriuretic peptides in acute pulmonary embolism: a systematic review","volume":"34","year":"2008","unstructured":"Cavallazzi\n              R\n            , NairA, VasuT, MarikPE.\n          Natriuretic peptides in acute pulmonary embolism: a systematic review. Intensive Care Med2008;34(12):2147\u201356."},{"issue":"11","key":"i0730-2347-41-2-188-b23","series-title":"Arch Intern Med","first-page":"1221","article-title":"Massive pulmonary embolism during pregnancy successfully treated with recombinant tissue plasminogen activator: a case report and review of treatment options","volume":"162","year":"2002","unstructured":"Ahearn\n              GS\n            , HadjiliadisD, GovertJA, TapsonVF.\n          Massive pulmonary embolism during pregnancy successfully treated with recombinant tissue plasminogen activator: a case report and review of treatment options. 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Arch Surg1973;106(2):214\u20135."},{"issue":"1","key":"i0730-2347-41-2-188-b26","series-title":"Am J Obstet Gynecol","first-page":"80","article-title":"Pregnancy complicated by solid-papillary epithelial tumor of the pancreas, pulmonary embolism, and pulmonary embolectomy","volume":"152","year":"1985","unstructured":"Duff\n              P\n            , GreeneVP.\n          Pregnancy complicated by solid-papillary epithelial tumor of the pancreas, pulmonary embolism, and pulmonary embolectomy. Am J Obstet Gynecol1985;152(1): 80\u20131."},{"issue":"1","key":"i0730-2347-41-2-188-b27","series-title":"J Reprod Med","first-page":"64","article-title":"Intrapartum pulmonary embolus. A case report","volume":"30","year":"1985","unstructured":"Richards\n              SR\n            , BarrowsH, O'ShaughnessyR.\n          Intrapartum pulmonary embolus. A case report. 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