During the past 50 years, the maternal mortality ratio has decreased dramatically. In 1940, there was 376 maternal deaths per 100,000 live birth; in 1980, there were 9 deaths per 100,000 live births.
The leading causes of maternal deaths were pulmonary embolism, pregnancy induced hypertension complications, hemorrhage, ectopic pregnancy complications and infection Pulmonary embolism accounts for a most common cause of maternal death.
We present a case of a fatal pulmonary embolism which was diagnosed by pulmonary angiograpjy on the postoperative 1 day after an cesarean section for twin pregnancy and was managed with heparin therapy.
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