Title:The Successful Treatment of Pulmonary Embolism as a Complication after Uterine Fibroid Embolization (Case Report)
Volume: 15
Issue: 2
Author(s): Nikolay Т. Vatutin, Gennadiy G. Taradin*, Ganna S. Smyrnova, Valery B. Kostogryz B. Kostogryz, Vadim S. Kolesnikov and Andrey V. Dmitriev
Affiliation:
- Department of Urgent Cardiology and Cardiac Surgery, Institute of Urgent and Reconstructive Surgery named after V.K. Gusak, Leninsky av., 47, Donetsk, 83000,Ukraine
Keywords:
Uterine fibroid embolization, hysterectomy, uterine fibroid, complications, venous thromboembolism, pulmonary
embolism.
Abstract: Background: Uterine fibroid embolization (UFE) is as an effective alternative to
hysterectomy and myomectomy. However, UFE is associated with a wide spectrum of complications
including in rare instances thromboembolic events and even pulmonary embolism (PE).
Case Presentation: A case of a 36-year-old woman suffering from a symptomatic uterine fibroid is
described as follows. The patient underwent UFE and overnight she suddenly collapsed with signs of
massive PE. In consequence of cardiopulmonary resuscitation and urgent systemic thrombolytic
therapy, cardiac activity was restored successfully.
Discussion & Conclusion: This constitutes another report of PE developed following UFE. In the
case described here PE occurred 26 hours after the procedure was performed. Before UFE all patients
should undergo complete examination for exclusion of pre-existing venous deep thrombosis and
coagulopathies.
