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[Amniotic fluid embolism suspected in a case of seizure and mild uterine haemorrhage with activation of coagulation and fibrinolysis].

After a normal pregnancy and labour in a 29-year-old parturient, a single seizure followed by a transient headache was observed during the uterine revision for placental retention. Mild uterine haemorrhage of 150 ml per hour without any uterine atony was associated with activation of clotting and fibrinolysis (decrease of fibrinogen, elevated fibrin soluble complexes and D-dimers). A ten fold value of foetal blood cells in maternal serum suggested the diagnosis of amniotic fluid embolism. Atypical forms of amniotic fluid embolism and their diagnosis are discussed.

Adult↗

Successful treatment of postpartum shock caused by amniotic fluid embolism with cardiopulmonary bypass and pulmonary artery thromboembolectomy.

We report the successful treatment of a moribund patient as a result of amniotic fluid embolism with cardiopulmonary bypass and open pulmonary artery thromboembolectomy. Review of the literature indicates that this is the first reported case of treatment of amniotic fluid embolism with cardiopulmonary bypass and pulmonary thromboembolectomy.

Adult↗

Severe lung damage after amniotic fluid embolism; a case with haemodynamic measurements.

A case is presented of non-fatal amniotic fluid embolism (AFE) with a severe shock complicated by acute respiratory distress syndrome (ARDS) with permanent pulmonary damage. Analysis of haemodynamic data of this patient suggests that diminished myocardial contractility and a decrease in peripheral vascular tone are the main causes of prolonged shock in AFE.

Adult↗