Abstract
We report a patient with amniotic fluid embolism (AFE) in whom the occurrence of late onset, severe pulmonary oedema was due to isolated left ventricular (LV) failure. Following institution of diuretics and inotropic support, the situation promptly improved and follow-up haemodynamic assessment showed complete recovery of LV function. This report indicates that reversible LV failure may occur late after AFE and emphasises the usefulness of pulmonary artery catheterisation for proper assessment and guidance of therapy of pulmonary oedema in AFE.
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References
Morgan M (1979) Amniotic fluid embolism. Anesthesia 34:20–32
Clark SL, Montz FJ, Phelan JP (1985) Hemodynamic alterations associated with amniotic fluid embolism: a reappraisal. Am J Obstet Gynecol 151:617–621
Clark SL, Cotton DB, Gonik B, Greenspoon J, Phelan JP (1988) Central hemodynamic alterations in amniotic fluid embolism. Am J Obstet Gynecol 158:1124–1126
Girard P, Hervé M, Laine JF, Petitpretz P, rain B, Duroux P (1986) Left heart failure in amniotic fluid embolism. Anesthesiology 64:262–265
Masson RG, Ruggieri J (1985) Pulmonary microvascular cytology: a new diagnostic application of the pulmonary artery catheter. Chest 88:908–914
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Vanmaele, L., Noppen, M., Vincken, W. et al. Transient left heart failure in amniotic fluid embolism. Intensive Care Med 16, 269–271 (1990). https://doi.org/10.1007/BF01705165
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DOI: https://doi.org/10.1007/BF01705165