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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Yeh, Tung-chen Liou, Jau-cheng Liu, Chun-peng Tseng, Ching-jiunn |
| Description | Author Affiliation: Yeh TC ( Department of Internal Medicine, Division of Cardiology Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.) |
| Abstract | A 25-year-old woman presented with severe dyspnoea at an emergency care unit on her postpartum day 7. Her O2 saturation level was low. Blood tests showed a high blood D-dimer level; echocardiography showed a high pulmonary artery pressure. Initially, heparin was administered for suspicion of pulmonary embolism. After transfer to the intensive care unit, she suffered respiratory failure. A three-dimensional (3D) reconstruction CT angiography then revealed a giant patent ductus arteriosus. Extracorporeal membrane oxygenation was performed owing to low O2 saturation after ventilator use. After 1 month, she died of multiple organ failure. In postpartum patients with congenital heart disease, a diagnosis of pulmonary embolism should be immediately confirmed by 3D reconstruction CT angiography to rule out patent ductus arteriosus. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2013 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Ductus Arteriosus, Patent Tomography, X-Ray Computed Diagnosis, Differential Therapy Extracorporeal Membrane Oxygenation Fatal Outcome Postpartum Period Pulmonary Embolism Diagnosis Research Support, Non-U.S. Gov't Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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