Soonchunhyang Med Sci.  2015 Dec;21(2):113-116. 10.0000/sms.2015.21.2.113.

Sudden Cardiac Arrest Postoperative Day due to Pulmonary Embolism

• Yun YU
• Shim SM
• Kim YS

• KMID: 2317769
• DOI: http://doi.org/10.0000/sms.2015.21.2.113

Abstract

Cardiac arrest one day after cesarean section is extremely rare. Obstetrical clinicians have low experience to these serious situations necessitating immediate first aid and knowledge of its differential diagnosis. A 33-year-old woman underwent elective repeat cesarean section at 38 weeks of gestation under spinal anesthesia. The patient underwent uneventful course on that day. Loss of consciousness occurred one day after cesarean section during her first ambulation. Immediate cardiac compression was performed and eventually resulted in good recovery of her heartbeat. Her condition was suitable disseminated intravascular coagulation (DIC). She developed acute ischemic pancreatitis after cardiac arrest. We describe the consideration of amniotic fluid embolism with DIC as most appropriate in this case. To our knowledge, our case is one of the most dangerous conditions after the cesarean section. Here, we report our case with a review of literatures.

Keyword

Cesarean section; Heart arrest; Pulmonary embolism; Pancreatitis

MeSH Terms

Adult
Anesthesia, Spinal
Cesarean Section
Cesarean Section, Repeat
Dacarbazine
Death, Sudden, Cardiac*
Diagnosis, Differential
Disseminated Intravascular Coagulation
Embolism, Amniotic Fluid
Female
First Aid
Heart Arrest
Humans
Pancreatitis
Pregnancy
Pulmonary Embolism*
Unconsciousness
Walking
Dacarbazine