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A Pregnant Woman in the Third Trimester Diagnosed With Acute Respiratory Failure and Severe Lower-Extremity Edema

Mohammad A. Helwani, MD, MSPH; Julianne E. Donnelly, MD; Majesh Makan, MD; Charl J. De Wet, MD
Author and Funding Information

aDepartment of Anesthesiology, Division of Critical Care Medicine and Cardiothoracic Surgery, Washington University in St. Louis, St. Louis, MO

bDivision of Cardiovascular Diseases, Department of Medicine, Washington University in St. Louis, St. Louis, MO

CORRESPONDENCE TO: Mohammad A. Helwani, MD, MSPH, 660 S Euclid Ave, Campus Box 8054, St. Louis, MO 63110


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4):e105-e107. doi:10.1016/j.chest.2016.03.066
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Extract

A previously healthy 33-year-old pregnant woman gravida 4, para 1, with good prenatal care, presented to an obstetric clinic at 34 weeks' gestation with new-onset shortness of breath, activity intolerance, and worsening lower-extremity edema. The patient had had an uncomplicated pregnancy 10 years earlier as well as a remote history of methamphetamine abuse. Pulse oximetry revealed oxygen saturation in the low 80% range with a mild response to oxygen supplementation through a nonrebreather mask. A heparin drip was started because of a concern about pulmonary embolism (PE), and the patient was admitted to the ICU for further management.

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