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A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism

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Abstract

Both pheochromocytoma and amniotic fluid embolism (AFE) are important causes of maternal mortality. We present a case of a 29-year-old woman who developed cardiac arrest after Caesarean section, complicated by both pheochromocytoma crisis and AFE. After resuscitation, the patient developed multiple organ dysfunction, rhabdomyolysis and disseminated intravascular coagulation (DIC). After institution of multidisciplinary interventions (including the use of an intra-aortic balloon pump, extracorporeal membrane oxygenation, continuous hemodiafiltration, and neuroprotective therapeutic hypothermia) the patient made a full recovery without any apparent neurological deficit.

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Authors and Affiliations

  1. Department of Intensive Care Unit, University of Fukui Hospital, 23-3 Matsuoka Shimoaizuki, Eiheijicho, Yoshidagun, Fukui, 910-1193, Japan

    Kenichiro Mita, Yoshikazu Yasuda, Yasunari Matsuki, Yurie Obata & Kenji Shigemi

  2. Department of Anesthesiology and Reanimatology, University of Fukui Hospital, Fukui, Japan

    Kayo Tsugita, Yuka Matsuki, Seiichi Kamisawa & Kenji Shigemi

Authors
  1. Kenichiro Mita
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  2. Kayo Tsugita
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  3. Yoshikazu Yasuda
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  4. Yasunari Matsuki
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  5. Yurie Obata
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  6. Yuka Matsuki
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  7. Seiichi Kamisawa
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  8. Kenji Shigemi
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Corresponding author

Correspondence to Yoshikazu Yasuda.

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Mita, K., Tsugita, K., Yasuda, Y. et al. A successfully treated case of cardiac arrest after Caesarean section complicated by pheochromocytoma crisis and amniotic fluid embolism. J Anesth 31, 140–143 (2017). https://doi.org/10.1007/s00540-016-2281-3

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  • DOI: https://doi.org/10.1007/s00540-016-2281-3

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