Repeated pulmonary embolism with cardiac arrest after uterine artery embolization for uterine arteriovenous malformation: A case report and literature review

Balkenze Imankulova, Milan Terzic, Talshyn Ukybassova, Gauri Bapayeva, Timur Lesbekov, Gulnar Mustafinova, Nurlan Smagulov, Fariza Shauyen

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

OBJECTIVE: Uterine arteriovenous malformation (AVM) is an abnormal and nonfunctional communication between uterine arteries and veins, currently managed by uterine artery embolization (UAE). Pulmonary embolism (PE) is the most severe and life-threatening complication of this procedure.

CASE REPORT: We report a case of 27 year-old woman with heavy vaginal bleeding and abdominal pain caused by AVM. UAE was performed uneventfully, but 2 h after the procedure the first attack of pulmonary embolism occurred, treated by anticoagulation therapy. Second attack happened on the third postinterventional day. Considering vaginal bleeding, continued extracorporeal membrane oxygenation (ECMO), and suspicion of embolic particles arising from uterus, a subtotal hysterectomy was done. Patient was discharged two weeks following surgery, after complete recovery.

CONCLUSION: Although AVM is managed by UAE, clinicians must be aware of complications. To avoid PE, we suggest only large sized microspheres for carefully selected patients.

Original languageEnglish
Pages (from-to)890-893
Number of pages4
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume57
Issue number6
DOIs
Publication statusPublished - Dec 2018

Keywords

  • Adult
  • Arteriovenous Malformations/diagnostic imaging
  • Female
  • Heart Arrest/etiology
  • Humans
  • Postoperative Complications/etiology
  • Pregnancy
  • Pulmonary Embolism/etiology
  • Treatment Outcome
  • Uterine Artery/abnormalities
  • Uterine Artery Embolization/adverse effects

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