A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism

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• 作者：Kenichiro Mita ; Kayo Tsugita ; Yoshikazu Yasuda ; Yasunari Matsuki…
• 关键词：Pheochromocytoma ; Amniotic fluid embolism ; Caesarean section ; Cardiac arrest
• 刊名：Journal of Anesthesia
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：31
• 期：1
• 页码：140-143
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Anesthesiology; Pain Medicine; Intensive / Critical Care Medicine; Emergency Medicine;
• 出版者：Springer Japan
• ISSN：1438-8359
• 卷排序：31

文摘

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.