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 |
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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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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.</description><identifier>ISSN: 0913-8668</identifier><identifier>EISSN: 1438-8359</identifier><identifier>DOI: 10.1007/s00540-016-2281-3</identifier><identifier>PMID: 27832332</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>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</subject><ispartof>Journal of anesthesia, 2017-02, Vol.31 (1), p.140-143</ispartof><rights>Japanese Society of Anesthesiologists 2016</rights><rights>COPYRIGHT 2017 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-5b4acb2f6ea5674cce5aac1e528372761fbecdaa569ce642f4f4ee9036747f33</citedby><cites>FETCH-LOGICAL-c473t-5b4acb2f6ea5674cce5aac1e528372761fbecdaa569ce642f4f4ee9036747f33</cites><orcidid>0000-0002-4101-6629</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00540-016-2281-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00540-016-2281-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27832332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mita, Kenichiro</creatorcontrib><creatorcontrib>Tsugita, Kayo</creatorcontrib><creatorcontrib>Yasuda, Yoshikazu</creatorcontrib><creatorcontrib>Matsuki, Yasunari</creatorcontrib><creatorcontrib>Obata, Yurie</creatorcontrib><creatorcontrib>Matsuki, Yuka</creatorcontrib><creatorcontrib>Kamisawa, Seiichi</creatorcontrib><creatorcontrib>Shigemi, Kenji</creatorcontrib><title>A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism</title><title>Journal of anesthesia</title><addtitle>J Anesth</addtitle><addtitle>J Anesth</addtitle><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.</description><subject>Adrenal Gland Neoplasms - therapy</subject><subject>Adult</subject><subject>Amniotic fluid embolism</subject><subject>Anesthesiology</subject><subject>Cardiac arrest</subject><subject>Cesarean section</subject><subject>Cesarean Section - adverse effects</subject><subject>Clinical Report</subject><subject>Critical Care Medicine</subject><subject>Disseminated Intravascular Coagulation - therapy</subject><subject>Embolism, Amniotic Fluid - therapy</subject><subject>Emergency Medicine</subject><subject>Extracorporeal Membrane Oxygenation - methods</subject><subject>Female</subject><subject>Health aspects</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Intensive</subject><subject>Ionizing radiation</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pain Medicine</subject><subject>Pheochromocytoma</subject><subject>Pheochromocytoma - therapy</subject><subject>Pregnancy</subject><subject>Resuscitation - methods</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kstqHDEQRUVIiMdOPiCbIMgmm3b06OdyGPICQzbei-rq0lhGak2k7sX8QT47mowTCAxGiwLVuYVu6TL2TopbKUT3KQvR1KISsq2U6mWlX7CNrHVf9boZXrKNGKSu-rbtr9h1zo9CiFZK_Zpdqa7XSmu1Yb-2PK-IlLNdvT_yJREsNHGETDzaUtPkADmkRHnhYBdKfAeUoYAzz4SLizPHGA7e4R_peOSHB4r4kGKIeFxiAI7JZZc5zBOHMLu4OOTWr27iFMboXQ5v2CsLPtPbp3rD7r98vt99q-5-fP2-295VWHd6qZqxBhyVbQmatqvLyxsAlNSoXneqa6UdCScozQGprZWtbU00CF3gzmp9wz6exx5S_LkWSya4jOQ9zBTXbGSvB1l2qJqCfjije_Bk3GzjkgBPuNk2jRRq6EVdqOoCtaeZEvg4k3Xl-j_-9gJfzkTB4UWBPAswxZwTWXNILkA6GinMKQbmHANTYmBOMTAnl--fXK5joOmf4u-_F0CdgVxa856SeYxrmsvin5n6G88LvqM</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Mita, Kenichiro</creator><creator>Tsugita, Kayo</creator><creator>Yasuda, Yoshikazu</creator><creator>Matsuki, Yasunari</creator><creator>Obata, Yurie</creator><creator>Matsuki, Yuka</creator><creator>Kamisawa, Seiichi</creator><creator>Shigemi, Kenji</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4101-6629</orcidid></search><sort><creationdate>20170201</creationdate><title>A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism</title><author>Mita, Kenichiro ; Tsugita, Kayo ; Yasuda, Yoshikazu ; Matsuki, Yasunari ; Obata, Yurie ; Matsuki, Yuka ; Kamisawa, Seiichi ; Shigemi, Kenji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-5b4acb2f6ea5674cce5aac1e528372761fbecdaa569ce642f4f4ee9036747f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adrenal Gland Neoplasms - therapy</topic><topic>Adult</topic><topic>Amniotic fluid embolism</topic><topic>Anesthesiology</topic><topic>Cardiac arrest</topic><topic>Cesarean section</topic><topic>Cesarean Section - adverse effects</topic><topic>Clinical Report</topic><topic>Critical Care Medicine</topic><topic>Disseminated Intravascular Coagulation - therapy</topic><topic>Embolism, Amniotic Fluid - therapy</topic><topic>Emergency Medicine</topic><topic>Extracorporeal Membrane Oxygenation - methods</topic><topic>Female</topic><topic>Health aspects</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Intensive</topic><topic>Ionizing radiation</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pain Medicine</topic><topic>Pheochromocytoma</topic><topic>Pheochromocytoma - therapy</topic><topic>Pregnancy</topic><topic>Resuscitation - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mita, Kenichiro</creatorcontrib><creatorcontrib>Tsugita, Kayo</creatorcontrib><creatorcontrib>Yasuda, Yoshikazu</creatorcontrib><creatorcontrib>Matsuki, Yasunari</creatorcontrib><creatorcontrib>Obata, Yurie</creatorcontrib><creatorcontrib>Matsuki, Yuka</creatorcontrib><creatorcontrib>Kamisawa, Seiichi</creatorcontrib><creatorcontrib>Shigemi, Kenji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mita, Kenichiro</au><au>Tsugita, Kayo</au><au>Yasuda, Yoshikazu</au><au>Matsuki, Yasunari</au><au>Obata, Yurie</au><au>Matsuki, Yuka</au><au>Kamisawa, Seiichi</au><au>Shigemi, Kenji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism</atitle><jtitle>Journal of anesthesia</jtitle><stitle>J Anesth</stitle><addtitle>J Anesth</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>31</volume><issue>1</issue><spage>140</spage><epage>143</epage><pages>140-143</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>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.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27832332</pmid><doi>10.1007/s00540-016-2281-3</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-4101-6629</orcidid></addata></record> |
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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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