Successful placement of a right ventricular assist device for treatment of a presumed amniotic fluid embolism

Anesth Analg. 2008 Sep;107(3):962-4. doi: 10.1213/ane.0b013e31817f10e8.

Abstract

Amniotic fluid embolism is a rare and often fatal complication of pregnancy. We report the successful multidisciplinary management of a woman who developed a coagulopathy from a presumed amniotic fluid embolism after forceps-assisted vaginal delivery requiring recombinant factor VIIa, and pulmonary arterial hypertension requiring a right ventricular assist device.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Disseminated Intravascular Coagulation / diagnosis
  • Disseminated Intravascular Coagulation / etiology
  • Embolism, Amniotic Fluid / therapy*
  • Factor VIIa / therapeutic use*
  • Female
  • Heart-Assist Devices*
  • Humans
  • Hypertension, Pulmonary / therapy*
  • Obstetrical Forceps
  • Postpartum Hemorrhage / etiology
  • Postpartum Hemorrhage / therapy
  • Pregnancy
  • Pregnancy Complications, Cardiovascular
  • Treatment Outcome

Substances

  • Factor VIIa