{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:22:05Z","timestamp":1787757725780,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Pulmonary embolism represents the leading cause of maternal mortality in developed countries. The optimal treatment of high-risk pulmonary embolism with cardiovascular instability and at high hemorrhagic risk is still debated but surgical embolectomy represents an effective option. We describe the case of a 35-year-old woman in week 34 of pregnancy who was referred to our hospital because of exertional dyspnea and tachycardia and a few hours later became hypotensive and hypoxic. Pulmonary embolism was detected by performing an angio-computed tomography (CT) scan. After a successful cesarean section, emergent embolectomy was performed without inducing uterine hemorrhage. Both mother and the newborn recovered without postoperative sequelae.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_244_20","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T08:24:24Z","timestamp":1649665464000},"page":"225-228","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Embolectomy in a 34-Week Pregnant Woman with High Risk Pulmonary Embolism and Haemodynamic Instability"],"prefix":"10.4103","volume":"25","author":[{"given":"Giulia","family":"Maj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Strobelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Audo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Maria","family":"Arena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Parodi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittorio","family":"Aguggia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Serra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Giribaldi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ermelinda","family":"Martuscelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Racca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-22-20240901","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/S2214-109X(14)70227-X","article-title":"Global causes of maternal death: A WHO systematic analysis","volume":"2","author":"Say","year":"2014","journal-title":"Lancet Glob Health"},{"key":"R2-22-20240901","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1056\/NEJMra0707993","article-title":"Venous thromboembolic disease and pregnancy","volume":"359","author":"Marik","year":"2008","journal-title":"N Engl J Med"},{"key":"R3-22-20240901","first-page":"24","article-title":"Catheter-directed thrombolysis for thromboembolic disease during pregnancy: A viable option","volume":"8","author":"Krishnamurthy","year":"1999","journal-title":"J Matern Fetal Med"},{"key":"R4-22-20240901","doi-asserted-by":"crossref","first-page":"1901647","DOI":"10.1183\/13993003.01647-2019","article-title":"2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European respiratory society (ERS): The task force for the diagnosis and management of acute pulmonary embolism of the European society of cardiology (ESC)","volume":"54","author":"Konstantinides","year":"2019","journal-title":"Eur Respir J"},{"key":"R5-22-20240901","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1056\/NEJMra0707993","article-title":"Venous thromboembolic disease and pregnancy","volume":"359","author":"Marik","year":"2008","journal-title":"N Engl J Med"},{"key":"R6-22-20240901","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1259\/bjr\/93840362","article-title":"Catheter fragmentation of acute massive pulmonary thromboembolism: Distal embolisation and pulmonary arterial pressure elevation","volume":"81","author":"Nakazawa","year":"2008","journal-title":"Br J Radiol"},{"key":"R7-22-20240901","doi-asserted-by":"crossref","first-page":"188","DOI":"10.14503\/THIJ-12-2692","article-title":"Emergent surgical pulmonary embolectomy in a pregnant woman: Case report and literature review","volume":"41","author":"Saeed","year":"2014","journal-title":"Tex Heart Inst J"},{"key":"R8-22-20240901","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1378\/chest.06-1082","article-title":"Paradoxical worsening of shock after the use of a percutaneous mechanical thrombectomy device in a postpartum patient with a massive pulmonary embolism","volume":"132","author":"Kumar","year":"2007","journal-title":"Chest"},{"key":"R9-22-20240901","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.thromres.2009.03.001","article-title":"Treatment options in massive pulmonary embolism during pregnancy; a case-report and review of literature","volume":"124","author":"te Raa","year":"2009","journal-title":"Thromb Res"},{"key":"R10-22-20240901","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s11239-018-1686-2","article-title":"A Pulmonary embolism response team (PERT) approach: Initial experience from the Cleveland clinic","volume":"46","author":"Mahar","year":"2018","journal-title":"J Thromb Thrombolysis"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_244_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:52:00Z","timestamp":1787755920000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_244_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_244_20","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}