Surgical treatment of an amniotic fluid embolism with cardiopulmonary collapse.

Ann Thorac Surg

Department of Surgery, Tufts University School of Medicine, St. Elizabeth's Medical Center, Boston, Massachusetts, USA.

Published: November 2010

Amniotic fluid embolism is a rare but devastating condition associated with a very high rate of morbidity and mortality. The treatment has traditionally been aggressive supportive care. We report a case of a term pregnant woman with complete cardiovascular collapse secondary to a paradoxical amniotic fluid embolism. The embolism was seen on transesophageal echocardiogram during an emergency Cesarean section as a free-floating interatrial clot through a patent foramen ovale. She was subsequently and successfully treated with immediate cardiopulmonary bypass, thromboembolectomy, and closure of the patent foramen ovale.

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http://dx.doi.org/10.1016/j.athoracsur.2010.05.017DOI Listing

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