A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism.
Both pheochromocytoma and amniotic fluid embolism (AFE) are important causes of maternal mortality. We present a case of a 29-year-old woman who developed cardiac arrest after Caesarean section, complicated by both pheochromocytoma crisis and AFE. After resuscitation, the patient developed multiple organ dysfunction, rhabdomyolysis and disseminated intravascular coagulation (DIC). After institution of multidisciplinary interventions (including the use of an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous hemodiafiltration, and neuroprotective therapeutic hypothermia) the patient made a full recovery without any apparent neurological deficit.
Department of Intensive Care Unit, University of Fukui Hospital, 23-3 Matsuoka Shimoaizuki, Eiheijicho, Yoshidagun, Fukui, 910-1193, Japan.
Kenichiro
K
Mita
Department of Anesthesiology and Reanimatology, University of Fukui Hospital, Fukui, Japan.
Kayo
K
Tsugita
Department of Intensive Care Unit, University of Fukui Hospital, 23-3 Matsuoka Shimoaizuki, Eiheijicho, Yoshidagun, Fukui, 910-1193, Japan. yyasuda822@gmail.com.
Yoshikazu
http://orcid.org/0000-0002-4101-6629
Y
Yasuda
Department of Intensive Care Unit, University of Fukui Hospital, 23-3 Matsuoka Shimoaizuki, Eiheijicho, Yoshidagun, Fukui, 910-1193, Japan.
Yasunari
Y
Matsuki
Department of Intensive Care Unit, University of Fukui Hospital, 23-3 Matsuoka Shimoaizuki, Eiheijicho, Yoshidagun, Fukui, 910-1193, Japan.
Yurie
Y
Obata
Department of Anesthesiology and Reanimatology, University of Fukui Hospital, Fukui, Japan.
Yuka
Y
Matsuki
Department of Anesthesiology and Reanimatology, University of Fukui Hospital, Fukui, Japan.
Seiichi
S
Kamisawa
Department of Intensive Care Unit, University of Fukui Hospital, 23-3 Matsuoka Shimoaizuki, Eiheijicho, Yoshidagun, Fukui, 910-1193, Japan.|Department of Anesthesiology and Reanimatology, University of Fukui Hospital, Fukui, Japan.
Kenji
K
Shigemi
D000310:Adrenal Gland Neoplasms / Q000628:therapy; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D004211:Disseminated Intravascular Coagulation / Q000628:therapy; D004619:Embolism, Amniotic Fluid / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D010673:Pheochromocytoma / Q000628:therapy*; D011247:Pregnancy; D012151:Resuscitation / Q000379:methods
Amniotic fluid embolism; Caesarean section; Cardiac arrest; Pheochromocytoma