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.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Nanji, JA; Ansari, JR; Yurashevich, M; Ismawan, JM; Lyell, DJ; Karam, AK; Hovsepian, DM; Riley, ET

Published Date

  • January 15, 2019

Published In

Volume / Issue

  • 12 / 2

Start / End Page

  • 37 - 40

PubMed ID

  • 30020106

Pubmed Central ID

  • 30020106

Electronic International Standard Serial Number (EISSN)

  • 2575-3126

Digital Object Identifier (DOI)

  • 10.1213/XAA.0000000000000836

Language

  • eng

Conference Location

  • United States