title: Amniotic fluid embolism that took place during an emergent Cesarean section -A case report-.
abstract: Amniotic fluid embolism (AFE) is a rare but fatal obstetric emergency, characterized by sudden cardiovascular collapse, dyspnea or respiratory arrest and altered mentality, disseminated intravascular coagulation (DIC). It can lead to severe maternal morbidity and mortality, but the prediction of its occurrence and treatment are very difficult. We experienced a case of AFE during emergent Cesarean section in a 40(+6) weeks healthy pregnant woman, age 33. Sudden dyspnea, hypotension, signs of pulmonary edema and DIC were developed during Cesarean section, and cardiac arrest followed after these events. The course of these events was so rapid and catastrophic, which was consistent with AFE. Thus, we report this case precisely and review pathophysiology, diagnosis, treatment of AFE by referring to up-to-date literatures.
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, CHA Univercity, Seongnam, Korea.
authors.forename: Jung Hyang
authors.initials: JH
authors.lastname: Lee
authors.forename: Hyeon Jeong
authors.initials: HJ
authors.lastname: Yang
authors.forename: Ji-Hyoung
authors.initials: JH
authors.lastname: Kim
authors.forename: Su-Yeon
authors.initials: SY
authors.lastname: Lee
authors.forename: Hyun Jue
authors.initials: HJ
authors.lastname: Gill
authors.forename: Byeong-Kuk
authors.initials: BK
authors.lastname: Kim
authors.forename: Min Gu
authors.initials: MG
authors.lastname: Kim