Marzieh Zamaniyan1, Kaveh Jafari2, Saeed Kargar-Soleimanabad3, Alireza Nikzad Jamnani4. 1. Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran; Mazandaran Heart Center, Mazandaran University of Medical Sciences, Sari, Iran. 2. Mazandaran Heart Center, Mazandaran University of Medical Sciences, Sari, Iran. 3. Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. 4. Department of Anesthesiology and Critical Care, Mazandaran University of Medical sciences, Sari, Iran. Electronic address: alirezanikzad@yahoo.com.
Abstract
INTRODUCTION AND IMPORTANCE: Spontaneous hemothorax is a rare but life-threatening condition, which is the main cause of respiratory distress during pregnancy and after delivery without any evidence of post-traumatic injury. CASE PRESENTATION: A 34-year-old woman, pregnant at 20 weeks, presented in the emergency department complaining of dyspnea accompanied by epigastric pain, with dominance on the left side. Chest X-ray and CT-scan revealed an opacity by displacing heart to the right side. Considering, there was a probability of bleeding from venous arterial malformation. Inappropriate cervical condition two days after the patient appeared thermodynamically stable a cesarean section was performed. CLINICAL DISCUSSION: Pregnancy leads to increasing the size of AVM by rising cardiac output and hypoxia. Patients who are predisposed to PAVM and intend to be pregnant should be evaluated a priori. CONCLUSION: Although the hemothorax is a rare phenomenon during pregnancy, management of fetus following this critical condition requires multidisciplinary assessment.
INTRODUCTION AND IMPORTANCE: Spontaneous hemothorax is a rare but life-threatening condition, which is the main cause of respiratory distress during pregnancy and after delivery without any evidence of post-traumatic injury. CASE PRESENTATION: A 34-year-old woman, pregnant at 20 weeks, presented in the emergency department complaining of dyspnea accompanied by epigastric pain, with dominance on the left side. Chest X-ray and CT-scan revealed an opacity by displacing heart to the right side. Considering, there was a probability of bleeding from venous arterial malformation. Inappropriate cervical condition two days after the patient appeared thermodynamically stable a cesarean section was performed. CLINICAL DISCUSSION: Pregnancy leads to increasing the size of AVM by rising cardiac output and hypoxia. Patients who are predisposed to PAVM and intend to be pregnant should be evaluated a priori. CONCLUSION: Although the hemothorax is a rare phenomenon during pregnancy, management of fetus following this critical condition requires multidisciplinary assessment.
Authors: Riaz A Agha; Mimi R Borrelli; Reem Farwana; Kiron Koshy; Alexander J Fowler; Dennis P Orgill Journal: Int J Surg Date: 2018-10-18 Impact factor: 6.071
Authors: Prakash A Patel; Rohesh J Fernando; Emily J MacKay; Jeongae Yoon; Jacob T Gutsche; Saumil Patel; Ronak Shah; Jillian Dashiell; Stuart J Weiss; Lee Goeddel; Adam S Evans; Jared W Feinman; John G Augoustides Journal: J Cardiothorac Vasc Anesth Date: 2018-01-31 Impact factor: 2.628