TY - JOUR
T1 - Repeated pulmonary embolism with cardiac arrest after uterine artery embolization for uterine arteriovenous malformation
T2 - A case report and literature review
AU - Imankulova, Balkenze
AU - Terzic, Milan
AU - Ukybassova, Talshyn
AU - Bapayeva, Gauri
AU - Lesbekov, Timur
AU - Mustafinova, Gulnar
AU - Smagulov, Nurlan
AU - Shauyen, Fariza
N1 - Copyright © 2018. Published by Elsevier B.V.
PY - 2018/12
Y1 - 2018/12
N2 - 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.
AB - 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.
KW - Adult
KW - Arteriovenous Malformations/diagnostic imaging
KW - Female
KW - Heart Arrest/etiology
KW - Humans
KW - Postoperative Complications/etiology
KW - Pregnancy
KW - Pulmonary Embolism/etiology
KW - Treatment Outcome
KW - Uterine Artery/abnormalities
KW - Uterine Artery Embolization/adverse effects
U2 - 10.1016/j.tjog.2018.10.021
DO - 10.1016/j.tjog.2018.10.021
M3 - Review article
C2 - 30545548
SN - 1028-4559
VL - 57
SP - 890
EP - 893
JO - Taiwanese Journal of Obstetrics and Gynecology
JF - Taiwanese Journal of Obstetrics and Gynecology
IS - 6
ER -