PMID- 34132000 OWN - NLM STAT- MEDLINE DCOM- 20210906 LR - 20210906 IS - 1447-0756 (Electronic) IS - 1341-8076 (Linking) VI - 47 IP - 9 DP - 2021 Sep TI - Venoarterial extracorporeal membrane oxygenation as an early treatment for amniotic fluid embolism with cardiac arrest: A case report. PG - 3374-3378 LID - 10.1111/jog.14880 [doi] AB - 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. CI - (c) 2021 Japan Society of Obstetrics and Gynecology. FAU - Adachi, Mariko AU - Adachi M AD - Division of Obstetric Anesthesia, Center for Perinatal Care, Child Health and Development, Kitasato University Hospital, Sagamihara, Japan. FAU - Adachi, Takeshi AU - Adachi T AD - Department of Anesthesiology, Kitasato University, School of Medicine, Sagamihara, Japan. FAU - Fujita, Tomoe AU - Fujita T AD - Division of Obstetric Anesthesia, Center for Perinatal Care, Child Health and Development, Kitasato University Hospital, Sagamihara, Japan. FAU - Hyuga, Shunsuke AU - Hyuga S AD - Division of Obstetric Anesthesia, Center for Perinatal Care, Child Health and Development, Kitasato University Hospital, Sagamihara, Japan. FAU - Onishi, Yoko AU - Onishi Y AD - Department of Obstetrics and Gynecology, Center for Perinatal Care, Child Health and Development, Kitasato University Hospital, Sagamihara, Japan. FAU - Okutomi, Toshiyuki AU - Okutomi T AD - Division of Obstetric Anesthesia, Center for Perinatal Care, Child Health and Development, Kitasato University Hospital, Sagamihara, Japan. LA - eng PT - Case Reports DEP - 20210615 PL - Australia TA - J Obstet Gynaecol Res JT - The journal of obstetrics and gynaecology research JID - 9612761 SB - IM MH - Adult MH - *Cardiopulmonary Resuscitation MH - Cesarean Section MH - *Embolism, Amniotic Fluid/therapy MH - *Extracorporeal Membrane Oxygenation MH - Female MH - *Heart Arrest/therapy MH - Humans MH - Pregnancy OTO - NOTNLM OT - amniotic fluid embolism OT - cardiac arrest OT - coagulopathy OT - venoarterial extracorporeal membrane oxygenation EDAT- 2021/06/17 06:00 MHDA- 2021/09/07 06:00 CRDT- 2021/06/16 07:08 PHST- 2021/04/02 00:00 [revised] PHST- 2020/10/11 00:00 [received] PHST- 2021/05/29 00:00 [accepted] PHST- 2021/06/17 06:00 [pubmed] PHST- 2021/09/07 06:00 [medline] PHST- 2021/06/16 07:08 [entrez] AID - 10.1111/jog.14880 [doi] PST - ppublish SO - J Obstet Gynaecol Res. 2021 Sep;47(9):3374-3378. doi: 10.1111/jog.14880. Epub 2021 Jun 15.