Key result
Early VA-ECMO achieves full recovery in a case of amniotic fluid embolism and cardiac arrest.
Why the study?
Maternal mortality associated with amniotic fluid embolism is high, and early recognition and prompt treatment are important for survival after cardiac arrest.
Case Report (n=1)
Early initiation of VA-ECMO may be an effective life-saving treatment for cardiac arrest secondary to amniotic fluid embolism.
VA-ECMO may aid resuscitation in AFE cardiac arrest; leaves open its role pending prospective data.
Amniotic fluid embolism (AFE) is a rare but fatal obstetric complication, characterized by sudden cardiovascular collapse, respiratory failure, and disseminated intravascular coagulation. Maternal mortality associated with AFE is high, making early recognition and prompt treatment important. In AFE with cardiac arrest, survival following acute cardiopulmonary dysfunction is crucial. In recent years, venoarterial extracorporeal membrane oxygenation (VA-ECMO) has attracted attention as an aggressive treatment for AFE with cardiac arrest. A 40-year-old woman experienced sudden cardiac arrest due to AFE during cesarean section. Cardiopulmonary resuscitation and VA-ECMO (also called percutaneous cardiopulmonary support) were initiated early. Finally, she recovered without any complications. VA-ECMO can provide temporary respiratory and hemodynamic support until cardiopulmonary function improves after a few days in intensive care. VA-ECMO should be considered as an early treatment for AFE with cardiac arrest.
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Adachi et al. (2021) conducted a case report in Amniotic fluid embolism with cardiac arrest (n=1). Venoarterial extracorporeal membrane oxygenation (VA-ECMO) was evaluated on Recovery. Early initiation of venoarterial extracorporeal membrane oxygenation (VA-ECMO) led to full recovery without complications in a 40-year-old woman with amniotic fluid embolism and cardiac arrest.
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