A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism.
Kenichiro MitaKayo TsugitaYoshikazu YasudaYasunari MatsukiYurie ObataYuka MatsukiSeiichi KamisawaKenji ShigemiPublished in: Journal of anesthesia (2016)
Both pheochromocytoma and amniotic fluid embolism (AFE) are important causes of maternal mortality. We present a case of a 29-year-old woman who developed cardiac arrest after Caesarean section, complicated by both pheochromocytoma crisis and AFE. After resuscitation, the patient developed multiple organ dysfunction, rhabdomyolysis and disseminated intravascular coagulation (DIC). After institution of multidisciplinary interventions (including the use of an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous hemodiafiltration, and neuroprotective therapeutic hypothermia) the patient made a full recovery without any apparent neurological deficit.
Keyphrases
- cardiac arrest
- extracorporeal membrane oxygenation
- cardiopulmonary resuscitation
- acute respiratory distress syndrome
- public health
- case report
- umbilical cord
- acute kidney injury
- respiratory failure
- aortic valve
- physical activity
- cardiovascular events
- coronary artery
- cerebral ischemia
- oxidative stress
- risk factors
- mesenchymal stem cells
- type diabetes
- left ventricular
- coronary artery disease
- pulmonary artery
- birth weight
- pregnancy outcomes
- body mass index
- computed tomography
- blood brain barrier
- pulmonary hypertension
- preterm birth
- subarachnoid hemorrhage