An intracardiac thrombus as a cause of cardiac arrest during a cesarean delivery

Published:April 26, 2022DOI:
      A 25-year-old, G6P1AA5 (G6: pregnancy 6 times, P1: parturition once, AA 5: artificial abortion 5 times), 37-week pregnant woman with a body mass index of 35 kg/m2, 1 previous cesarean delivery, and no major disease, such as diabetes mellitus, hypertension, myocarditis, and cardiac arrhythmia history, was delivered via cesarean delivery because of breech presentation. During the administration of spinal anesthesia, her spinal level reached T4, and her hemodynamics were stable. She tolerated the delivery well and could have occasional small talks with the medical team during cesarean delivery. Her blood loss was approximately 500 mL.
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        • Zelop C.M.
        • Einav S.
        • Mhyre J.M.
        • Martin S.
        Cardiac arrest during pregnancy: ongoing clinical conundrum.
        Am J Obstet Gynecol. 2018; 219: 52-61
        • Wu S.H.
        • Li R.S.
        • Hwu Y.M.
        Live birth after perimortem cesarean delivery in a 36-year-old out-of-hospital cardiac arrest nulliparous woman.
        Taiwan J Obstet Gynecol. 2019; 58: 43-45
        • Porat S.
        • Leibowitz D.
        • Milwidsky A.
        • Valsky D.V.
        • Yagel S.
        • Anteby E.Y.
        Transient intracardiac thrombi in amniotic fluid embolism.
        BJOG. 2004; 111: 506-510
        • Bernstein S.N.
        • Cudemus-Deseda G.A.
        • Ortiz V.E.
        • Goodman A.
        • Jassar A.S.
        Case 33-2019: a 35-year-old woman with cardiopulmonary arrest during cesarean section.
        N Engl J Med. 2019; 381: 1664-1673
        • Joshi V.M.
        • Otiv S.R.
        • Majumder R.
        • Nikam Y.A.
        • Shrivastava M.
        Internal iliac artery ligation for arresting postpartum haemorrhage.
        BJOG. 2007; 114: 356-361