JACC Patient Care Pathways | Sudden Respiratory Distress in Pregnancy

In this video accompanying the JACC Patient Care Pathways interactive case, expert faculty provide an inside look at the critical care pathway of a 37-year-old female who, while in labor, develops dyspnea, hypoxemia, and tachycardia, followed by an acute pulmonary embolism. Join experts Valentin Fuster, MD, PhD, MACC; Angela Bianco, MD; Y.S. Chandrashekhar, MD, FACC; Julia Grapsa, MD, PhD, FACC; Robert Lookstein, MD; Hooman Poor, MD; and Gregory Serrao, MD, as they work together to apply evidence-based contemporary approaches to diagnosis and treatment and navigate additional complications including a second saddle pulmonary embolus, heparin-induced thrombocytopenia and COVID-19 infection. Follow the experts through this patient care journey at www.JACC.org/P....
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Introduction (0:00)
Case Presentation (2:27)
Implications of Acute PE During Fetal Delivery (7:28)
Roles of Multidisciplinary PERT & MCS, Delivery of Baby (11:55)
CTA & Percutaneous Therapy Options (16:44)
Acute Thrombectomy Procedure & If There is a Role for an IVC Filter (23:25)
One Day Later: Shock, Hematoma, TTE, Hemodynamics, Management (27:52)
Case continuation: Prothrombotic State (POD 2-11) (33:49)
Case Continuation: Acute Dyspnea, Hypoxemia and Tachycardia, CTA, Therapeutic Anticoagulation, HIT (38:49)
Postpartum and HIT: Options for Anticoagulation, Discharge, 3-month Follow-Up (44:36)
Key Takeaways (48:50)
#JACC, #JACCCaseReports, #COVID19, #CardioObstetrics, #PulmonaryEmbolism