Document Detail

Cardiorespiratory symptoms during pregnancy--not always pulmonary embolism.
MedLine Citation:
PMID:  16774828     Owner:  NLM     Status:  MEDLINE    
We describe a case of sudden onset severe cardiorespiratory compromise in a parturient at 36 weeks' gestation. She received treatment for infection, pulmonary oedema and pulmonary embolism before a diagnosis of aortic dissection was made. Successful repair was undertaken following caesarean section. We discuss the difficulties of diagnosis of cardiorespiratory symptoms and the potential hazards of instituting therapy before a definitive diagnosis is reached. The value of a multidisciplinary team approach and the use of portable echocardiography in the investigation of both pulmonary embolism and cardiac disease are emphasised.
P J Evans; K Rajappan; G M Stocks
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-06-13
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  15     ISSN:  0959-289X     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-09     Completed Date:  2007-01-23     Revised Date:  2007-07-12    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  320-4     Citation Subset:  IM    
Queen Charlotte's & Chelsea Hospital, London, UK.
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MeSH Terms
Anoxia / etiology
Aortic Valve / surgery
Aortic Valve Insufficiency / diagnosis*,  surgery,  ultrasonography
Diagnosis, Differential
Pregnancy Complications, Cardiovascular / diagnosis*,  surgery,  ultrasonography
Pulmonary Embolism / diagnosis*
Comment In:
Int J Obstet Anesth. 2007 Apr;16(2):189-90   [PMID:  17293103 ]

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