Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation

Amniotic fluid embolism (AFE) is an extremely rare yet fatal obstetric emergency. AFE presents as sudden cardiovascular collapse after a breach of maternal-fetal membranes and is often complicated by severe coagulopathy. We present a case where an AFE was treated with veno-arterial extracorporeal me...

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Main Authors: Robert Gitman, Bradlee Bachar, Byron Mendenhall
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2019/4589636
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author Robert Gitman
Bradlee Bachar
Byron Mendenhall
author_facet Robert Gitman
Bradlee Bachar
Byron Mendenhall
author_sort Robert Gitman
collection DOAJ
description Amniotic fluid embolism (AFE) is an extremely rare yet fatal obstetric emergency. AFE presents as sudden cardiovascular collapse after a breach of maternal-fetal membranes and is often complicated by severe coagulopathy. We present a case where an AFE was treated with veno-arterial extracorporeal membrane oxygenation (ECMO) to help overcome the acute cardiopulmonary insult. The use of echocardiography proved to be an invaluable tool to help guide treatment and optimal duration of ECMO in the face of severe coagulopathy.
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spelling doaj-art-3244b4a574184508ba148283688a17382025-02-03T01:32:05ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/45896364589636Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane OxygenationRobert Gitman0Bradlee Bachar1Byron Mendenhall2Kaweah Delta Medical Center, Visalia, CA, USAKaweah Delta Medical Center, Visalia, CA, USAKaweah Delta Medical Center, Visalia, CA, USAAmniotic fluid embolism (AFE) is an extremely rare yet fatal obstetric emergency. AFE presents as sudden cardiovascular collapse after a breach of maternal-fetal membranes and is often complicated by severe coagulopathy. We present a case where an AFE was treated with veno-arterial extracorporeal membrane oxygenation (ECMO) to help overcome the acute cardiopulmonary insult. The use of echocardiography proved to be an invaluable tool to help guide treatment and optimal duration of ECMO in the face of severe coagulopathy.http://dx.doi.org/10.1155/2019/4589636
spellingShingle Robert Gitman
Bradlee Bachar
Byron Mendenhall
Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation
Case Reports in Critical Care
title Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation
title_full Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation
title_fullStr Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation
title_full_unstemmed Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation
title_short Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation
title_sort amniotic fluid embolism treated with veno arterial extracorporeal membrane oxygenation
url http://dx.doi.org/10.1155/2019/4589636
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AT bradleebachar amnioticfluidembolismtreatedwithvenoarterialextracorporealmembraneoxygenation
AT byronmendenhall amnioticfluidembolismtreatedwithvenoarterialextracorporealmembraneoxygenation