Immediate postpartum cardiorespiratory collapse

A management quandary

Shah M S Azarisman, Roslani A. Liza, Hassan Radhiana, Saravanamuttu S. Sujana, Oteh Maskon, Mohd A. Rosli, Abdul R M Fauzi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 35-year-old multiparous woman was found unresponsive, tachypnoeic, hypoxic and in shock 4 h postpartum. The ECG revealed S1 Q3 T3, a right bundle branch block pattern and right-axis deviation. The computed tomography of her pulmonary arteries revealed bilateral pulmonary artery thrombosis with dilated right ventricle. She was fibrinolyzed with intravenous Tenecteplase 30 mg bolus. Her saturation and tachypnoea improved and her ECG reverted to sinus rhythm subsequently. We discuss our use of off-label Tenecteplase in postpartum pulmonary embolism and review the literature.

Original languageEnglish
Pages (from-to)601-604
Number of pages4
JournalBlood Coagulation and Fibrinolysis
Volume21
Issue number6
DOIs
Publication statusPublished - Sep 2010

Fingerprint

Postpartum Period
Pulmonary Artery
Electrocardiography
Off-Label Use
Tachypnea
Bundle-Branch Block
Pulmonary Embolism
Heart Ventricles
Shock
Thrombosis
Tomography
tenecteplase

Keywords

  • cardiopulmonary collapse
  • puerperium
  • pulmonary embolism
  • tenecteplase

ASJC Scopus subject areas

  • Hematology

Cite this

Azarisman, S. M. S., Liza, R. A., Radhiana, H., Sujana, S. S., Maskon, O., Rosli, M. A., & Fauzi, A. R. M. (2010). Immediate postpartum cardiorespiratory collapse: A management quandary. Blood Coagulation and Fibrinolysis, 21(6), 601-604. https://doi.org/10.1097/MBC.0b013e32833c2b9f

Immediate postpartum cardiorespiratory collapse : A management quandary. / Azarisman, Shah M S; Liza, Roslani A.; Radhiana, Hassan; Sujana, Saravanamuttu S.; Maskon, Oteh; Rosli, Mohd A.; Fauzi, Abdul R M.

In: Blood Coagulation and Fibrinolysis, Vol. 21, No. 6, 09.2010, p. 601-604.

Research output: Contribution to journalArticle

Azarisman, SMS, Liza, RA, Radhiana, H, Sujana, SS, Maskon, O, Rosli, MA & Fauzi, ARM 2010, 'Immediate postpartum cardiorespiratory collapse: A management quandary', Blood Coagulation and Fibrinolysis, vol. 21, no. 6, pp. 601-604. https://doi.org/10.1097/MBC.0b013e32833c2b9f
Azarisman, Shah M S ; Liza, Roslani A. ; Radhiana, Hassan ; Sujana, Saravanamuttu S. ; Maskon, Oteh ; Rosli, Mohd A. ; Fauzi, Abdul R M. / Immediate postpartum cardiorespiratory collapse : A management quandary. In: Blood Coagulation and Fibrinolysis. 2010 ; Vol. 21, No. 6. pp. 601-604.
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