Echocardiographic diagnosis of amniotic fluid embolism with paradoxical embolism

Pilecky, Dávid; Sollfrank, R.; Wiesinger, Tanja; Balogh, Emese; Elsner, Dietmar

doi:10.1093/ehjci/jeab084

Cited by 3 publications

(2 citation statements)

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“…Pilecky et al. 12 described transesophageal echocardiography findings in a patient with AFE and paradoxical embolism. Imaging revealed multiple heterogenous masses in the right atrium and ventricle, as well as evidence of severe RV dilatation and dysfunction.…”

Section: Discussionmentioning

confidence: 99%

McConnell’s Sign in a Patient with Amniotic Fluid Embolism and Severe Right Ventricular Dysfunction

Hassan

Ferland

Hawkins

et al. 2021

CASE

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Section: Discussionmentioning

confidence: 99%

McConnell’s Sign in a Patient with Amniotic Fluid Embolism and Severe Right Ventricular Dysfunction

Hassan

Ferland

Hawkins

et al. 2021

CASE

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“…As current guidelines recommend, AFE should always be considered as a relevant differential diagnosis in pregnant women with cardiac arrest, but remains due to the lack of speci c diagnostics the diagnosis of exclusion[4,5]. Both AFE and PE involve consecutive pulmonary hypertension with right heart failure, which should best be con rmed byTEE [6,7]. Although postoperative CT scan did not reveal any signs of in our case, intraoperative TEE was highly suspicious of thrombotic occlusion and hemodynamics slightly improved after systemic administration of thrombolysis suggesting a successful fragmentation of the thrombus.…”

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confidence: 99%

Massive pulmonary embolism during the induction of labor in a middle-aged obese nulliparous woman – a case report

Killinger,

Riedel,

Fiedler

et al. 2024

Preprint

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Massive pregnancy-related pulmonary embolism is a rare but potentially life-threatening event. We report the sudden onset of dyspnea and loss of consciousness in a middle-aged obese nulliparous woman at 39 weeks of gestation during first stage of labor. Shortly after delivery by emergency cesarean section cardiac arrest was recorded. Transesophageal echocardiography during resuscitation showed right ventricular failure leading to the diagnosis of pulmonary embolism. Return of spontaneous circulation was achieved after emergency administration of thrombolysis with alteplase. Uterine hemorrhage, coagulopathy and persistent right ventricular failure resulted in persistent hemodynamic instability leading to supracervical hysterectomy and veno-arterial extracorporal life support. Both mother and baby survived without hypoxic brain injury. Our literature review highlights the crucial importance of individual and interdisciplinary decision-making during emergency situations in pregnant women. Therefore, we conducted a literature review to estimate the extent of evidence on the emergency management of pregnant women with pulmonary embolism. Manuscript

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Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature

Jiang¹,

Liang²,

Yao³

et al. 2022

WJCC

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Echocardiographic diagnosis of amniotic fluid embolism with paradoxical embolism

Cited by 3 publications

References 0 publications

McConnell’s Sign in a Patient with Amniotic Fluid Embolism and Severe Right Ventricular Dysfunction

McConnell’s Sign in a Patient with Amniotic Fluid Embolism and Severe Right Ventricular Dysfunction

Massive pulmonary embolism during the induction of labor in a middle-aged obese nulliparous woman – a case report

Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature

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