A clinical case of successful thrombolysis in pulmonary embolism during pregnancy

The risk of venous thromboembolic complications among pregnant women and puerperas is higher than in the general population, which due to traditional factors, as well physiological anatomical changes that occur during pregnancy. Symptoms signs pregnancy are often nonspecific may coincide with consequences changes, including dyspnea, limb edema, tachycardia. D-dimer levels be elevated ongoing pregnancy, limiting its use a laboratory marker. Identification source thromboembolism veins lower extremities can difficult proximal localization thrombosis women, rare detection thrombi this area associated incompressibility their intrapelvic location, altered blood flow mechanics. main method treatment low molecular weight heparins, however, case massive thromboembolism, leading hemodynamic instability high mortality, thrombolytic therapy indicated. Thrombolytic an increased hemorrhagic complications. warfarin direct oral anticoagulants contraindicated possibility penetration drugs through placental barrier. article presents clinical successful thrombolysis patient pulmonary embolism late chosen tactics management corresponded guidelines made it possible successfully treat without for mother fetus. Drugs were used do not penetrate barrier have teratogenic effects.