Echocardiographically detected mass “in transit” in early amniotic fluid embolism

European Heart Journal - Cardiovascular Imaging

1 August 2006
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ESC Journals

Abstract

Abstract

Background Amniotic fluid embolism is a catastrophic illness related to the passage of fetal material into the pulmonary circulation causing cardiovascular collapse.

Case A 29-year-old female sustained cardiopulmonary arrest during delivery presumably due to amniotic fluid embolism. A right atrial mass “in transit” was detected by echocardiography. It had an appearance and pattern of motion that was suggestive of a gelatinous consistency and is likely to have been an amniotic fluid embolus. There was also evidence of acute right ventricular overload.

Conclusion We recommend that echocardiography be considered early on such conditions to gain more insight into the pathogenesis of this complication.

Contributors

Abdo Saad
Abdo Saad

Author

American University of Beirut Medical center Beirut , Lebanon