Myocardial infarction and death after Caesarean section in a woman with protein S deficiency and undiagnosed phaeochromocytoma

A. Zangrillo, G. Valentini, A. Casati, G. Torri

Research output: Contribution to journalArticle

Abstract

We describe the case of a 36-year-old woman, with a previous history of recurrent abortion due to protein S deficiency, undergoing an elective Caesarean section at 39-weeks gestation. During pregnancy no signs of hypertension or cardiovascular disease were reported, but at the end of the surgical procedure, the patient developed acute hypertension, leading to myocardial infarction, severe heart failure and death. The autopsy revealed a 2-cm undiagnosed phaeochromocytoma in the right adrenal gland. Clinical diagnostic features of phaeochromocytoma during pregnancy as well as the main therapeutic approaches suggested in the literature are discussed.

Original languageEnglish
Pages (from-to)268-270
Number of pages3
JournalEuropean Journal of Anaesthesiology
Volume16
Issue number4
DOIs
Publication statusPublished - 1999

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Keywords

  • Coagulation disorders
  • Phaeochromocytoma
  • Pregnancy, hypertension, Caesarean section

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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