Clinical Nuclear Medicine, cilt.26, sa.7, ss.657-658, 2001 (SCI-Expanded, Scopus)
Fifteen days after giving birth, a 30-year-old woman had the sudden onset of shortness of breath, cough, and paroxysmal nocturnal dyspnea. She underwent Tc-99m DTPA aerosol ventilation and Tc-99m MAA perfusion lung studies within a 24-hour interval. The patient had bilateral venous enlargement of the lower extremities, a history of recurrent pulmonary embolism, and had smoked cigarettes for 12 years until 1 year earlier. Despite its rare occurrence during pregnancy and the postpartum period, deep vein thrombosis complicated with pulmonary embolism remains the leading source of maternal death and complications. Both perfusion and ventilation scans revealed considerable activity in the breasts as a result of radioactivity in breast milk after the administration of Tc-99m-labeled radiopharmaceuticals. The total effective dose to the infant was less than 1 mSv because breast-feeding had been interrupted for 24 hours and 4 hours after the administration of Tc-99m MAA and DTPA, respectively.