Amniotic Fluid Embolism Treated With Inhaled Milrinone: A Case Report.

@article{Baxter2020AmnioticFE,
  title={Amniotic Fluid Embolism Treated With Inhaled Milrinone: A Case Report.},
  author={Frederick J. Baxter and Amanda Whippey},
  journal={A\&A Practice},
  year={2020}
}
We present a patient with sudden cardiovascular collapse during cesarean delivery that was attributed to amniotic fluid embolism (AFE). The syndrome of AFE may be initiated by an anaphylactoid response to amniotic fluid in the maternal circulation that triggers the release of pulmonary vasoconstrictors, with transient pulmonary vasospasm, causing hemodynamic collapse and profound left ventricular failure. Milrinone, a pulmonary vasodilator used in the management of emergent right ventricular… Expand
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TLDR
Timely placement of transesophageal echocardiogram revealed catastrophic pulmonary vasoconstriction as the cause of circulatory collapse in a patient with amniotic fluid embolism, supporting the use of cardiopulmonary bypass as an effective intervention. Expand
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