Introduction. Abnormally high levels of triglycerides (hyperlipidemia) are often the result of a number of disorders in the body, which over time can lead to conditions such as hypothyroidism, nephrotic syndrome, diabetes, obstruction of the biliary ducts, hepatic impairment et al. The topic of how to treat the extreme hyperlipidemia has been an important discussion point in medical circles. Case report. This paper presents the case of a 33-year-old pregnant women in the 34th week of the first proper pregnancy with laboratory-verified extreme hyperlipidemia, who was brought in critical condition to the Clinical Center of Kragujevac. After the emergency cesarean section was performed, due to the general poor condition of the patient and extremely high levels of triglycerides and cholesterol, lipopheresis was indicated, which in our institution was not technically possible to treat and therefore it was necessary to find an alternative solution. Conclusion. It was shown that the application of intraoperative blood salvage can be used successfully not only in heavy bleeding during surgery, but also for cleaning the blood itself, which was clearly shown in the laboratory analysis.