Amniotic fluid embolism with right heart masses presenting as cardiac arrest during labour

2019 ◽  
Vol 47 (2) ◽  
pp. 193-196
Author(s):  
Luke W Collett ◽  
Patrick V Sheehan ◽  
Jonathan J Gatward
Keyword(s):  
Cardiac Arrest ◽  
Amniotic Fluid ◽  
Amniotic Fluid Embolism ◽  
Right Heart

A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism

2016 ◽  
Vol 31 (1) ◽  
pp. 140-143 ◽  
Author(s):  
Kenichiro Mita ◽  
Kayo Tsugita ◽  
Yoshikazu Yasuda ◽  
Yasunari Matsuki ◽  
Yurie Obata ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Caesarean Section ◽  
Amniotic Fluid ◽  
Amniotic Fluid Embolism

scholarly journals Amniotic Fluid Embolism in Post Caesarean Section

2020 ◽  
Vol 4 (2) ◽  
pp. 161-166
Author(s):  
Defrin Defrin ◽  
Heri Farnas
Keyword(s):  
Cardiac Arrest ◽  
Cesarean Section ◽  
Amniotic Fluid ◽  
Pregnancy Termination ◽  
Post Partum ◽  
Amniotic Fluid Embolism ◽  
Initial Examination ◽  
Maternal Deaths ◽  
Obstetric Emergency ◽  
Cardiopulmonary System

Background: According to WHO, around 73% of maternal deaths globally are caused by direct obstetric causes. The amniotic fluid embolism is a life-threatening obstetric emergency characterized by sudden cardiopulmonary system failure and can be accompanied by Disseminated Intravascular Coagulation (DIC). The amniotic fluid embolism event usually occurs during labor and birth, but can also occur immediately in the post partum period or after pregnancy termination. About 56% of women will not survive for first 2 hours after the acute event. Amniotic fluid embolism is an unpredictable event, so that no prophylactic intervention can be carried out effectively and the handling and enforcement of a diagnosis that still debatable.Objective: To report maternal deaths due to amniotic fluid embolism post cesarean sectionMethod: Case ReportCase:  Reported case of a 30 years old woman with an initial diagnosis in emergency departement with decreased consciousness due to Severe hypoxia due to Pulmonary emboli due to Amniotic fluid emboli on P2A0L2 post Cesarean Section first day of puerperium. The patient experienced a sudden loss of consciousness accompanied by severe shortness of breath after 6 hours after cesarean section surgery in a private hospital. After initial examination and treatment by administering oxygen through the Nonrebreathing Mask, there was no improvement in the O2 saturation value and then the patient was intubated by the anesthetist. After intubation, the O2 saturation value still does not increase, then the patient suddenly experiences cardiac arrest and followed with cardiac resuscitation for 2 cycles accompanied by resuscitation drugs then the patient returns to spontaneous circulation. From the cardiology department, inotropic therapy was given and echocardiographic investigations were carried out. On echocardiographic examination, they found McConnel's sign which showed suspicios of pulmonary embolism. At the time the patient will be moved to the intensive care unit, the patient experiences a cardiac arrest for the second time, then resuscitation is performed again for 2 cycles, but it does not work and the patient is declared dead.Conclusion: Amniotic fluid embolism is an obstetric emergency condition that cannot be predicted and has a high mortality rate. Treatment is supportive to support the cardiopulmonary system and management of coagulopathy that may occur.Keywords: maternal mortality, amniotic fluid embolism 

Right Heart Masses Demonstrated by Echocardiography in a Patient With Amniotic Fluid Embolism During Labour

2020 ◽  
Vol 40 (1) ◽  
pp. 50-51
Author(s):  
K.H. Maack ◽  
K. Munk ◽  
K. Dahl ◽  
H.H. Jørgensen ◽  
A. Christiansen ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Amniotic Fluid Embolism ◽  
Right Heart

scholarly journals Amniotic fluid embolism and management of coagulopathy: A case report with successful outcome

2020 ◽  
Vol 29 (3) ◽  
pp. 198-202
Author(s):  
Jun Hoe Tay ◽  
Raymond Wee Lip Goy ◽  
Ban Leong Sng
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Amniotic Fluid ◽  
Factor Viia ◽  
Amniotic Fluid Embolism ◽  
Successful Outcome ◽  
Circulatory Support ◽  
Pharmacological Agents ◽  
Clinical Events ◽  
Local Setting

Amniotic fluid embolism (AFE) is a rare and potentially catastrophic condition unique to pregnancy. Presentation may range from subtle clinical events to sudden and fatal maternal cardiorespiratory arrest, with a reported incidence of 2–6 in 100,000 deliveries and mortality of 15–60%. Management should include immediate high-grade resuscitation for AFE presenting as cardiac arrest, involvement of multidisciplinary team, provision of adequate ventilator and circulatory support, treatment of coagulopathy precipitated by AFE, and immediate delivery of the foetus in cases of cardiac arrest. The following case report involves a patient with suspected AFE post-induction of labour with favourable maternal and neonatal outcome in our local setting. The management of coagulopathy in AFE is further discussed, including use of massive transfusion protocols, pharmacological agents and recombinant factor VIIa.

scholarly journals Cardiac Arrest during Hospitalization for Delivery in the United States, 1998–2011

2014 ◽  
Vol 120 (4) ◽  
pp. 810-818 ◽  
Author(s):  
Jill M. Mhyre ◽  
Lawrence C. Tsen ◽  
Sharon Einav ◽  
Elena V. Kuklina ◽  
Lisa R. Leffert ◽  
...  
Keyword(s):  
United States ◽  
Heart Failure ◽  
Cardiac Arrest ◽  
Amniotic Fluid ◽  
Cardiopulmonary Arrest ◽  
Temporal Trends ◽  
Survival Rates ◽  
The United States ◽  
Amniotic Fluid Embolism ◽  
Weighted Estimates

Abstract Background: The objective of this analysis was to evaluate the frequency, distribution of potential etiologies, and survival rates of maternal cardiopulmonary arrest during the hospitalization for delivery in the United States. Methods: By using data from the Nationwide Inpatient Sample during the years 1998 through 2011, the authors obtained weighted estimates of the number of U.S. hospitalizations for delivery complicated by maternal cardiac arrest. Clinical and demographic risk factors, potential etiologies, and outcomes were identified and compared in women with and without cardiac arrest. The authors tested for temporal trends in the occurrence and survival associated with maternal arrest. Results: Cardiac arrest complicated 1 in 12,000 or 8.5 per 100,000 hospitalizations for delivery (99% CI, 7.7 to 9.3 per 100,000). The most common potential etiologies of arrest included hemorrhage, heart failure, amniotic fluid embolism, and sepsis. Among patients with cardiac arrest, 58.9% of patients (99% CI, 54.8 to 63.0%) survived to hospital discharge. Conclusions: Approximately 1 in 12,000 hospitalizations for delivery is complicated by cardiac arrest, most frequently due to hemorrhage, heart failure, amniotic fluid embolism, or sepsis. Survival depends on the underlying etiology of arrest.

Sign in / Sign up

Export Citation Format

Share Document