Transesophageal Echocardiographic Observation of Caval Thrombus Followed by Intraoperative Placement of Inferior Vena Cava Filter for Presumed Pulmonary Embolism During Cesarean Hysterectomy for Placenta Percreta: A Case Report.
Publication
, Journal Article
Nanji, JA; Ansari, JR; Yurashevich, M; Ismawan, JM; Lyell, DJ; Karam, AK; Hovsepian, DM; Riley, ET
Published in: A A Pract
January 15, 2019
During a cesarean hysterectomy for placenta percreta, transesophageal echocardiography was used to monitor volume status and guide resuscitation. After delivery of the neonate but before massive surgical hemorrhage, a thrombus appeared in the inferior vena cava. Roughly 3 hours later, the patient had hemodynamic changes consistent with an intraoperative pulmonary embolism. Boluses of epinephrine stabilized the patient. An inferior vena cava filter was placed via an in situ internal jugular central venous cannula to prevent further embolic events. We believe transesophageal echocardiography is a useful monitor during surgery for placenta percreta.
Duke Scholars
Published In
A A Pract
DOI
EISSN
2575-3126
Publication Date
January 15, 2019
Volume
12
Issue
2
Start / End Page
37 / 40
Location
United States
Related Subject Headings
- Vena Cava, Inferior
- Vena Cava Filters
- Thrombosis
- Pulmonary Embolism
- Pregnancy
- Placenta Accreta
- Hysterectomy
- Humans
- Female
- Echocardiography, Transesophageal
Citation
APA
Chicago
ICMJE
MLA
NLM
Nanji, J. A., Ansari, J. R., Yurashevich, M., Ismawan, J. M., Lyell, D. J., Karam, A. K., … Riley, E. T. (2019). Transesophageal Echocardiographic Observation of Caval Thrombus Followed by Intraoperative Placement of Inferior Vena Cava Filter for Presumed Pulmonary Embolism During Cesarean Hysterectomy for Placenta Percreta: A Case Report. A A Pract, 12(2), 37–40. https://doi.org/10.1213/XAA.0000000000000836
Nanji, Jalal A., Jessica R. Ansari, Mary Yurashevich, Johanes M. Ismawan, Deirdre J. Lyell, Amer K. Karam, David M. Hovsepian, and Edward T. Riley. “Transesophageal Echocardiographic Observation of Caval Thrombus Followed by Intraoperative Placement of Inferior Vena Cava Filter for Presumed Pulmonary Embolism During Cesarean Hysterectomy for Placenta Percreta: A Case Report.” A A Pract 12, no. 2 (January 15, 2019): 37–40. https://doi.org/10.1213/XAA.0000000000000836.
Nanji JA, Ansari JR, Yurashevich M, Ismawan JM, Lyell DJ, Karam AK, et al. Transesophageal Echocardiographic Observation of Caval Thrombus Followed by Intraoperative Placement of Inferior Vena Cava Filter for Presumed Pulmonary Embolism During Cesarean Hysterectomy for Placenta Percreta: A Case Report. A A Pract. 2019 Jan 15;12(2):37–40.
Nanji, Jalal A., et al. “Transesophageal Echocardiographic Observation of Caval Thrombus Followed by Intraoperative Placement of Inferior Vena Cava Filter for Presumed Pulmonary Embolism During Cesarean Hysterectomy for Placenta Percreta: A Case Report.” A A Pract, vol. 12, no. 2, Jan. 2019, pp. 37–40. Pubmed, doi:10.1213/XAA.0000000000000836.
Nanji JA, Ansari JR, Yurashevich M, Ismawan JM, Lyell DJ, Karam AK, Hovsepian DM, Riley ET. Transesophageal Echocardiographic Observation of Caval Thrombus Followed by Intraoperative Placement of Inferior Vena Cava Filter for Presumed Pulmonary Embolism During Cesarean Hysterectomy for Placenta Percreta: A Case Report. A A Pract. 2019 Jan 15;12(2):37–40.
Published In
A A Pract
DOI
EISSN
2575-3126
Publication Date
January 15, 2019
Volume
12
Issue
2
Start / End Page
37 / 40
Location
United States
Related Subject Headings
- Vena Cava, Inferior
- Vena Cava Filters
- Thrombosis
- Pulmonary Embolism
- Pregnancy
- Placenta Accreta
- Hysterectomy
- Humans
- Female
- Echocardiography, Transesophageal