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European Journal of Echocardiography 2006 7(4):332-335; doi:10.1016/j.euje.2005.06.012
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Copyright © 2005, The European Society of Cardiology

Echocardiographically detected mass "in transit" in early amniotic fluid embolism

Abdo Saad, Nada El-Husseini, Gilbert Abou Nader and Walid Gharzuddine*

American University of Beirut – Medical Center, P.O. Box 11-0236 Beirut, Lebanon

Received 21 March 2005; received in revised form 16 June 2005; accepted after revision 30 June 2005.

* Corresponding author. Tel.: +961 3 384640; fax: +961 1 744464. dg00{at}aub.edu.lb


  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.

Keywords: Amniotic fluid embolism; Mass "in transit"


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