[Amniotic fluid embolism: successful evolution course after uterine arteries embolization].
A 28-year-old woman, G3P3, who was otherwise healthy and had taken no medication and had no known allergy, was admitted to our hospital for delivery after a normal pregnancy. An epidural catheter was inserted for analgesia and labour was induced with oxytocin. Two hours later, she suffered a sudden cardiac arrest. She was immediately treated and, since a normal cardiac rhythm and a blood pressure of 90 mmHg has been obtained 30 minutes later, a 3750 g child was delivered by caesarean section. Soon after delivery, a life-threatening uterine haemorrhage appeared, due to DIC. Evolution was favourable, after bilateral uterine arteries embolization had been performed. The diagnosis of amniotic fluid embolism was established by the clinical course, the absence of local cause and the presence of a large number of amniotic cells in the mother's peripheral blood. Tryptase blood concentration was normal in the mother's blood.
Dorne
R
R
Département de réanimation et de soins intensifs cardiologiques, centre hospitalier Saint-Joseph et Saint-Luc, 9, rue du Pr Grignard, 69365 Lyon, France. rene.dorne@wanadoo.fr
Pommier
C
C
Emery
J C
JC
Dieudonné
F
F
Bongiovanni
J P
JP
D000328:Adult; D002585:Cesarean Section; D004619:Embolism, Amniotic Fluid / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D012039:Regional Blood Flow / Q000502:physiology; D012697:Serine Endopeptidases / Q000097:blood; D053802:Tryptases; D014592:Uterine Hemorrhage / Q000150:complications; D014599:Uterus / Q000098:blood supply*
D012697:Serine Endopeptidases; D053802:Tryptases