Successful placement of a right ventricular assist device for treatment of a presumed amniotic fluid embolism.
Amniotic fluid embolism is a rare and often fatal complication of pregnancy. We report the successful multidisciplinary management of a woman who developed a coagulopathy from a presumed amniotic fluid embolism after forceps-assisted vaginal delivery requiring recombinant factor VIIa, and pulmonary arterial hypertension requiring a right ventricular assist device.
Nagarsheth
Nimesh P
NP
Department of Obstetrics Gynecology and Reproductive Sciences, Mount Sinai School of Medicine of New York University, New York, NY 10029-6574, USA.
Pinney
Sean
S
Bassily-Marcus
Adel
A
Anyanwu
Anelechi
A
Friedman
Lynn
L
Beilin
Yaakov
Y
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000209:etiology; D004619:Embolism, Amniotic Fluid / Q000628:therapy*; D015942:Factor VIIa / Q000627:therapeutic use*; D005260:Female; D006353:Heart-Assist Devices; D006801:Humans; D006976:Hypertension, Pulmonary / Q000628:therapy*; D009772:Obstetrical Forceps; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D016896:Treatment Outcome
D015942:Factor VIIa