The patient was a 41-year-old woman at 32 weeks of gestation. Six days after the Great East Japan Earthquake, she was aware of the loss of fetal movement and dyspnea. She was diagnosed with a massive acute pulmonary thromboembolism. During transport to another hospital, her delivery started and she was transferred to our hospital. Because she lost consciousness and was in shock, we introduced a percutaneous cardiopulmonary support system. Because the catheter was not effective, we decided to perform open-heart surgery. She was rescued in cooperation with some departments stuffs. In special circumstances after a disaster, it is important for lifesaving in critically ill patients for us to work together closely.
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