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Anesth Analg 2008; 107:962-964
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e31817f10e8
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OBSTETRIC ANESTHESIOLOGY

Successful Placement of a Right Ventricular Assist Device for Treatment of a Presumed Amniotic Fluid Embolism

Nimesh P. Nagarsheth, MD*, Sean Pinney, MD{dagger}, Adel Bassily-Marcus, MD{ddagger}, Anelechi Anyanwu, MD§, Lynn Friedman, MD*, and Yaakov Beilin, MD*||

From the Departments of *Obstetrics Gynecology and Reproductive Sciences, {dagger}Medicine, {ddagger}Surgery, §Cardiothoracic surgery, and ||Anesthesiology, Mount Sinai School of Medicine of New York University, New York city, New York.

Address correspondence and reprint requests to Yaakov Beilin, MD, Department of Anesthesiology, The Mount Sinai Medical Center, Box 1010, One Gustave L. Levy Place, New York, NY 10029-6574. Address e-mail to yaakov.beilin{at}mountsinai.org.

Abstract

Amniotic fluid embolism is a rare and often fatal complication of pregnancy. We report the successful multidisciplinary management of a woman who developed a coagulopathy from a presumed amniotic fluid embolism after forceps-assisted vaginal delivery requiring recombinant factor VIIa, and pulmonary arterial hypertension requiring a right ventricular assist device.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.