SUCCESSFUL TREATMENT FOR PULMONARY EMBOLISM ARISING AFTER UTERINE ARTERY EMBOLIZATION IN A PATIENT WITH UTERINE FIBROID


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Abstract

Background. Uterine artery embolization (UAE) as a treatment for uterine fibroids confers a risk of various complications, among which there is pulmonary embolism (PE). Case report. A 36-year-old female patient who had no cardiovascular disease at the time of admission underwent UAE for uterine fibroids. A day after the procedure, there was dyspnea, hypotension, and then complete cessation of cardiac activity in the patient. After resuscitation measures, heart rate and blood pressure recovered, PE was diagnosed, and stepwise systemic intravenous thrombolysis (urokinase, unfractionated heparin) was performed. The patient’s condition improved after treatment. Conclusion. PE is a common and extremely menacing complication of UAE. To prevent this, prior to the procedure, patients should be thoroughly examined for latent thrombosis and, if the latter was present, undergo appropriate therapeutic measures.

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About the authors

N. T VATUTIN

V.K. Gusak Institute of Emergency and Reconstructive Surgery; M. Gorky Donetsk National Medical University

Email: kafedra_vatutin@mail.ru
chief of the Division of Urgent Cardiology and Cardiosurgery; MD, Professor, Head of the Hospital Therapy Department Donetsk 83003, Ilijcha av. 14, Ukraine; Donetsk 83000, Leninsky av. 47, Ukraine

G. G TARADIN

V.K. Gusak Institute of Emergency and Reconstructive Surgery; M. Gorky Donetsk National Medical University

Email: taradin@inbox.ru
Higher Senior Officer of the Division of Urgent Cardiology and Cardiosurgery; PhD, Ass. Prof., the Hospital Therapy Department Donetsk 83003, Ilijcha av. 14, Ukraine; Donetsk 83000, Leninsky av. 47, Ukraine

V. B KOSTOGRYZ

V.K. Gusak Institute of Emergency and Reconstructive Surgery

Email: kostvalerij@yandex.ru
doctor of the Department of Urgent Cardiology and Thrombolysis Donetsk 83003, Ilijcha av. 14, Ukraine

A. I KOSTOGRYZ

City Hospital Four

cardiologist Donetsk 83000, Cheluskintsev str. 188А, Ukraine

V. S KOLESNIKOV

V.K. Gusak Institute of Emergency and Reconstructive Surgery

Email: kolesnikovvs@mail.ru
head of the Department of Intensive Care, Anesthesia and Resuscitation Donetsk 83003, Ilijcha av. 14, Ukraine

O. I STOLIKA

V.K. Gusak Institute of Emergency and Reconstructive Surgery

Email: olegstolika@rambler.ru
PhD, head of the Department of Urgent Cardiology and Thrombolysis Donetsk 83003, Ilijcha av. 14, Ukraine

D. V BORT

M. Gorky Donetsk National Medical University

Email: bortdima2@mail.ru
internship doctor Donetsk 83000, Leninsky av. 47, Ukraine

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