The American was facing defeat when serving at 5-6 in the second set, but held her nerve.
Madrid: Serena Williams saved a match point on Monday before beating Vera Dushevina of Russia 6-7 (2), 7-6 (5), 7-6 (5) to reach the third round of the Madrid Masters.
The top-seeded American was facing defeat when serving at 5-6 in the second set, but held on despite her game being littered with unforced errors.
Williams left the court for treatment when 3-2 up in the third set, returning with a strapped right thigh.
In another second-round match, Francesca Schiavone beat Sybille Bammer 6-2, 6-1.
In first-round action, Peng Shuai advanced when 10th-seeded Victoria Azarenka while trailing 3-0. Anabel Medina Garrigues, 16th-seeded Nadia Petrova, Alisa Kleybanova and Patty Schnyder also won.
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