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coagulation disorders

European Journal of Anaesthesiology (1)

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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
Journal:

European Journal of Anaesthesiology / Volume 16 / Issue 4 / April 1999

Published online by Cambridge University Press:

16 August 2006, pp. 268-270

Print publication:

April 1999
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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.