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

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...

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Veröffentlicht in:Journal of anesthesia 2017-02, Vol.31 (1), p.140-143
Hauptverfasser: Mita, Kenichiro, Tsugita, Kayo, Yasuda, Yoshikazu, Matsuki, Yasunari, Obata, Yurie, Matsuki, Yuka, Kamisawa, Seiichi, Shigemi, Kenji
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container_end_page 143
container_issue 1
container_start_page 140
container_title Journal of anesthesia
container_volume 31
creator Mita, Kenichiro
Tsugita, Kayo
Yasuda, Yoshikazu
Matsuki, Yasunari
Obata, Yurie
Matsuki, Yuka
Kamisawa, Seiichi
Shigemi, Kenji
description 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.
doi_str_mv 10.1007/s00540-016-2281-3
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subjects Adrenal Gland Neoplasms - therapy
Adult
Amniotic fluid embolism
Anesthesiology
Cardiac arrest
Cesarean section
Cesarean Section - adverse effects
Clinical Report
Critical Care Medicine
Disseminated Intravascular Coagulation - therapy
Embolism, Amniotic Fluid - therapy
Emergency Medicine
Extracorporeal Membrane Oxygenation - methods
Female
Health aspects
Heart Arrest - therapy
Humans
Intensive
Ionizing radiation
Medicine
Medicine & Public Health
Pain Medicine
Pheochromocytoma
Pheochromocytoma - therapy
Pregnancy
Resuscitation - methods
title A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism
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