Thrombosis in Pregnancy

Maria T. DeSancho, MD, MSc

Associate Professor of Clinical Medicine, Clinical Director of Benign Hematology, Division of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY

Hannah K. Choe, MD

Hematology-Oncology Fellow, Division of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY

Question 1

A 28-year-old woman G3P1 with antiphospholipid syndrome (APS) presents with severe shortness of breath and chest pain 3 weeks postpartum after delivery at 35 weeks’ gestation via cesarean-section; the delivery was complicated by preeclampsia and HELLP syndrome. Chest radiograph is normal.

Which of the following is the preferred imaging modality?

  •   Computed tomography pulmonary angiography (CTPA)
  •   Magnetic resonance imaging (MRI) chest
  •   Venography
  •   Ventilation/perfusion (V/Q) scan

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