Amniotic fluid embolism causing severe left ventricular dysfunction and death: case report and review of the literature.
Hemodynamic instability in amniotic fluid embolism has previously been demonstrated only by right heart catheterization. We present detailed documentation obtained by echocardiography and cardiac catheterization of a 35-year-old woman who developed amniotic fluid embolism and died from severe left ventricular dysfunction and wide QRS complex tachycardia despite intensive medical therapy (inotropes) and mechanical (intraaortic balloon pump) support.
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University of Wisconsin Medical School, Milwaukee, USA.
Bajwa
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D000032:Abortion, Therapeutic / Q000009:adverse effects; D000328:Adult; D006328:Cardiac Catheterization; D004452:Echocardiography; D004619:Embolism, Amniotic Fluid / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D011247:Pregnancy; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy