{"id":"https://openalex.org/W7204196313","doi":"https://doi.org/10.1186/s13019-026-04630-8","title":"Ruptured pulmonary arteriovenous malformation causing hemothorax during pregnancy: a case report","display_name":"Ruptured pulmonary arteriovenous malformation causing hemothorax during pregnancy: a case report","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204196313","doi":"https://doi.org/10.1186/s13019-026-04630-8","pmid":"https://pubmed.ncbi.nlm.nih.gov/42778935"},"language":"en","primary_location":{"id":"doi:10.1186/s13019-026-04630-8","doi":"https://doi.org/10.1186/s13019-026-04630-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13019-026-04630-8","pdf_url":null,"source":{"id":"https://openalex.org/S172459203","display_name":"Journal of Cardiothoracic Surgery","issn_l":"1749-8090","issn":["1749-8090"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiothoracic Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s13019-026-04630-8","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5148069484","display_name":"Xueqian Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xueqian Wang","raw_affiliation_strings":["The Second People's Hospital of Yibin City-West China Yibin Hospital, Sichuan University, Yibin, 644000, Sichuan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Second People's Hospital of Yibin City-West China Yibin Hospital, Sichuan University, Yibin, 644000, Sichuan, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210156877"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148171701","display_name":"Bing Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I24185976","display_name":"Sichuan University","ror":"https://ror.org/011ashp19","country_code":"CN","type":"education","lineage":["https://openalex.org/I24185976"]},{"id":"https://openalex.org/I4210156877","display_name":"Second People\u2019s Hospital of Yibin","ror":"https://ror.org/05xceke97","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156877"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Bing Liu","raw_affiliation_strings":["The Second People's Hospital of Yibin City-West China Yibin Hospital, Sichuan University, Yibin, 644000, Sichuan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Second People's Hospital of Yibin City-West China Yibin Hospital, Sichuan University, Yibin, 644000, Sichuan, China","institution_ids":["https://openalex.org/I24185976","https://openalex.org/I4210156877"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5148172871","display_name":"Lianghai Cao","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Lianghai Cao","raw_affiliation_strings":["First People's Hospital of Chengdu, Chengdu, 610042, Sichuan, China. 370065126@qq.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"First People's Hospital of Chengdu, Chengdu, 610042, Sichuan, China. 370065126@qq.com","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5148172871"],"corresponding_institution_ids":[],"apc_list":{"value":2890,"currency":"USD","value_usd":2890},"apc_paid":{"value":2890,"currency":"USD","value_usd":2890},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.66231411,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"21","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12199","display_name":"Vascular Anomalies and Treatments","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12199","display_name":"Vascular Anomalies and Treatments","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11402","display_name":"Vascular Malformations Diagnosis and Treatment","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10980","display_name":"Vascular Malformations and Hemangiomas","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pulmonary-arteriovenous-malformation","display_name":"pulmonary arteriovenous malformation","score":0.9980000257492065},{"id":"https://openalex.org/keywords/spontaneous-hemothorax","display_name":"spontaneous hemothorax","score":0.7710000276565552},{"id":"https://openalex.org/keywords/pregnancy-complications","display_name":"pregnancy complications","score":0.8320000171661377},{"id":"https://openalex.org/keywords/hypoxemia","display_name":"hypoxemia","score":0.7099999785423279},{"id":"https://openalex.org/keywords/chest-pain","display_name":"chest pain","score":0.5759999752044678}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9143999814987183},{"id":"https://openalex.org/C2779630960","wikidata":"https://www.wikidata.org/wiki/Q369073","display_name":"Hemothorax","level":3,"score":0.822700023651123},{"id":"https://openalex.org/C160022790","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Cardiothoracic surgery","level":2,"score":0.73580002784729},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6732000112533569},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.5881999731063843},{"id":"https://openalex.org/C2779603958","wikidata":"https://www.wikidata.org/wiki/Q1584110","display_name":"Arteriovenous malformation","level":2,"score":0.4350999891757965},{"id":"https://openalex.org/C2777010666","wikidata":"https://www.wikidata.org/wiki/Q1498222","display_name":"Vascular surgery","level":3,"score":0.3749000132083893},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3199999928474426},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2653000056743622},{"id":"https://openalex.org/C12770488","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Neurosurgery","level":2,"score":0.2492000013589859}],"mesh":[{"descriptor_ui":"D000072226","descriptor_name":"Computed Tomography Angiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000072226","descriptor_name":"Computed Tomography Angiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001164","descriptor_name":"Arteriovenous Fistula","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D001164","descriptor_name":"Arteriovenous Fistula","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D001165","descriptor_name":"Arteriovenous Malformations","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D001165","descriptor_name":"Arteriovenous Malformations","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D001165","descriptor_name":"Arteriovenous Malformations","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D001165","descriptor_name":"Arteriovenous Malformations","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D004621","descriptor_name":"Embolization, Therapeutic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D004621","descriptor_name":"Embolization, Therapeutic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006491","descriptor_name":"Hemothorax","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011249","descriptor_name":"Pregnancy Complications, Cardiovascular","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D011249","descriptor_name":"Pregnancy Complications, Cardiovascular","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D011249","descriptor_name":"Pregnancy Complications, Cardiovascular","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011249","descriptor_name":"Pregnancy Complications, Cardiovascular","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011249","descriptor_name":"Pregnancy Complications, Cardiovascular","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D011249","descriptor_name":"Pregnancy Complications, Cardiovascular","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D011651","descriptor_name":"Pulmonary Artery","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D011651","descriptor_name":"Pulmonary Artery","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D011651","descriptor_name":"Pulmonary Artery","qualifier_ui":"Q000002","qualifier_name":"abnormalities","is_major_topic":true},{"descriptor_ui":"D011651","descriptor_name":"Pulmonary Artery","qualifier_ui":"Q000002","qualifier_name":"abnormalities","is_major_topic":true},{"descriptor_ui":"D011667","descriptor_name":"Pulmonary Veins","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D011667","descriptor_name":"Pulmonary Veins","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D011667","descriptor_name":"Pulmonary Veins","qualifier_ui":"Q000002","qualifier_name":"abnormalities","is_major_topic":true},{"descriptor_ui":"D011667","descriptor_name":"Pulmonary Veins","qualifier_ui":"Q000002","qualifier_name":"abnormalities","is_major_topic":true},{"descriptor_ui":"D012422","descriptor_name":"Rupture, Spontaneous","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D012422","descriptor_name":"Rupture, Spontaneous","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s13019-026-04630-8","doi":"https://doi.org/10.1186/s13019-026-04630-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13019-026-04630-8","pdf_url":null,"source":{"id":"https://openalex.org/S172459203","display_name":"Journal of Cardiothoracic Surgery","issn_l":"1749-8090","issn":["1749-8090"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiothoracic Surgery","raw_type":"journal-article"},{"id":"pmid:42778935","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42778935","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of cardiothoracic surgery","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:3bcb58b9127248fcb46e4d51dca90b1c","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/3bcb58b9127248fcb46e4d51dca90b1c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Cardiothoracic Surgery, Vol 21, Iss 1 (2026)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13599223","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42778935/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Cardiothorac Surg","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s13019-026-04630-8","doi":"https://doi.org/10.1186/s13019-026-04630-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13019-026-04630-8","pdf_url":null,"source":{"id":"https://openalex.org/S172459203","display_name":"Journal of Cardiothoracic Surgery","issn_l":"1749-8090","issn":["1749-8090"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiothoracic Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.6644161343574524,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W1972830546","https://openalex.org/W1997902006","https://openalex.org/W1999272956","https://openalex.org/W2063860651","https://openalex.org/W2125854325","https://openalex.org/W2157547334","https://openalex.org/W2158022310","https://openalex.org/W2596095646","https://openalex.org/W2803439823","https://openalex.org/W3005297017","https://openalex.org/W3012338666","https://openalex.org/W3148146862","https://openalex.org/W3165088244","https://openalex.org/W3177965471","https://openalex.org/W4392688200","https://openalex.org/W4413053153","https://openalex.org/W4414336140","https://openalex.org/W4416625137","https://openalex.org/W7134244312"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Pulmonary":[1],"arteriovenous":[2,102],"malformation":[3,103],"(PAVM)":[4,104],"is":[5,32,174],"a":[6,59,134,175],"rare":[7,164],"pulmonary":[8,101,115],"vascular":[9],"anomaly.":[10],"During":[11],"pregnancy,":[12],"physiological":[13],"hemodynamic":[14],"changes":[15],"and":[16,35,45,71,125,133,152,181,184],"hormonal":[17],"fluctuations":[18],"substantially":[19],"increase":[20],"the":[21,55,69,106,147],"risk":[22,148],"of":[23,51,62,97,142,149,162],"PAVM":[24,31,150],"rupture.":[25],"Spontaneous":[26],"hemothorax":[27],"secondary":[28],"to":[29,54,68],"ruptured":[30],"extremely":[33],"uncommon":[34],"often":[36],"presents":[37],"with":[38,58],"nonspecific":[39],"manifestations,":[40],"frequently":[41],"resulting":[42,121],"in":[43,105,122,156],"misdiagnosis":[44],"delayed":[46],"treatment.":[47],"CASE":[48],"PRESENTATION:":[49],"weeks":[50,141],"gestation":[52],"presented":[53],"emergency":[56,157],"department":[57],"30-minute":[60],"history":[61],"sudden-onset":[63],"left-sided":[64],"chest":[65],"pain":[66],"radiating":[67],"shoulder":[70],"back.":[72],"Initial":[73],"vital":[74],"signs":[75],"were":[76],"relatively":[77],"stable;":[78],"however,":[79],"progressive":[80],"hypoxemia":[81],"developed":[82],"after":[83],"admission.":[84],"Following":[85],"multidisciplinary":[86],"consultation,":[87],"using":[88],"Triple-Rule-Out":[89,169],"Computed":[90,170],"Tomography":[91,171],"Angiography":[92,172],"(TRO-CTA)":[93,173],"protocol":[94],"demonstrated":[95],"rupture":[96,151],"an":[98,188],"aneurysmally":[99],"dilated":[100],"left":[107],"lower":[108],"lobe,":[109],"complicated":[110],"by":[111],"hemothorax.":[112],"Emergency":[113],"transcatheter":[114,185],"artery":[116],"embolization":[117,186],"was":[118,130,137],"successfully":[119],"performed,":[120],"rapid":[123],"hemostasis":[124],"clinical":[126],"stabilization.":[127],"The":[128],"pregnancy":[129],"subsequently":[131],"continued,":[132],"healthy":[135],"neonate":[136],"delivered":[138],"at":[139],"36":[140],"gestation.":[143],"CONCLUSIONS:":[144],"Pregnancy":[145],"increases":[146],"hemorrhage.":[153],"Clinicians":[154],"working":[155],"settings":[158],"should":[159],"be":[160],"aware":[161],"this":[163,193],"but":[165],"potentially":[166],"fatal":[167],"condition.":[168],"valuable":[176],"modality":[177],"for":[178,192],"both":[179],"diagnosis":[180],"therapeutic":[182],"planning,":[183],"represents":[187],"effective":[189],"treatment":[190],"option":[191],"life-threatening":[194],"complication.":[195]},"counts_by_year":[],"updated_date":"2026-09-30T09:27:27.532063","created_date":"2026-08-26T00:00:00"}