Amniotic fluid embolism complicated by paradoxical embolism and disseminated intravascular coagulation.
Am J Crit Care
; 19(4): 379-82, 2010 Jul.
Article
in En
| MEDLINE
| ID: mdl-19435949
ABSTRACT
Amniotic fluid embolism is a rare syndrome with potentially lethal outcomes. Complications include cardiorespiratory failure, disseminated intra-vascular coagulation, seizures, neurological deficits, and death. A 34-year-old woman had amniotic fluid embolism complicated by paradoxical embolism and disseminated intravascular coagulation. Emergency cesarean section followed by cardiopulmonary bypass with removal of the clot from the atria and closure of the patent foramen ovale was performed, resulting in a good outcome for both the mother and the baby. Subsequent treatment with anticoagulants for 6 months was recommended. A literature review revealed that this clinical scenario is rare but can be successfully managed by cardiopulmonary bypass and thromboembolectomy. Data on guidelines for the use of anticoagulation in this situation are limited.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Embolism, Paradoxical
/
Embolism, Amniotic Fluid
/
Foramen Ovale, Patent
Type of study:
Guideline
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Am J Crit Care
Journal subject:
ENFERMAGEM
/
TERAPIA INTENSIVA
Year:
2010
Document type:
Article
Affiliation country:
Estados Unidos