Transient Left Ventricle Systolic Dysfunction in Amniotic Fluid Embolism.
10.4070/kcj.1999.29.8.822
- Author:
Dae Gyun PARK
;
Kyung Soon HONG
;
Young Cheoul DOO
;
Kyoo Rok HAN
;
Dong Jin OH
;
Kyu Hyung RYU
- Publication Type:Case Report
- Keywords:
Amniotic fluid embolism;
Left ventricle systolic dysfunction
- MeSH:
Amniotic Fluid*;
Autopsy;
Diagnosis;
Echocardiography;
Embolism, Amniotic Fluid*;
Female;
Heart Ventricles*;
Korea;
Mortality;
Neurologic Manifestations;
Peripartum Period;
Pregnancy;
Pulmonary Artery;
Pulmonary Edema;
Shock
- From:Korean Circulation Journal
1999;29(8):822-827
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Amniotic fluid embolism (AFE) is a rare peripartum complication with a mortality rate of 61 to 86%. The main clinical manifestations include shock, acute pulmonary edema, neurologic signs, and coagulopathies. Most diagnosis of AFE is made on the postmortem examination of the maternal pulmonary vasculature, but antemortem confirmation of amniotic fluid material by aspiration of pulmonary blood is rare. We report the first case in Korea who survived from amniotic fluid embolism confirmed by the identification of amniotic fluid debris in pulmonary artery blood. Serial echocardiographic changes of left ventricle systolic dysfunction are also described with a brief review of literatures.
