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

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.

journal_name

Eur J Anaesthesiol

authors

Zangrillo A,Valentini G,Casati A,Torri G

doi

10.1046/j.1365-2346.1999.00474.x

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

268-70

issue

4

eissn

0265-0215

issn

1365-2346

journal_volume

16

pub_type

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