Document Detail

Sudden cardiac arrest during pregnancy: a rare complication of acquired maternal diaphragmatic hernia.
MedLine Citation:
PMID:  22897068     Owner:  NLM     Status:  MEDLINE    
Acute cardiac arrest during pregnancy is a rare but devastating event. Major causes are haemorrhagic, septic or anaphylactic shock, trauma, pulmonary or amniotic fluid embolism, and congenital or acquired cardiac disease. We present a case of massive intrathoracic migration of viscera through a left diaphragmatic hernia in a pregnant multipara, causing acute obstructive shock and cardiac arrest. Complications of intrathoracic herniation occur when the intruding viscera cause left lung and cardiac compression or mediastinal "tamponade" with decreased venous return. Intrathoracic strangulation of viscera is also common and may cause ischaemia, gangrene and eventual perforation. Sudden cardiac arrest as first sign of left diaphragmatic rupture during pregnancy, however, has rarely been described. In contrast with our patient, this catastrophic event is mostly seen in nulli- and primipara with a known congenital left diaphragmatic defect. Management of a diaphragmatic hernia depends on the clinical presentation and the period of gestation during which it is detected. Despite prolonged resuscitation with more than 1 hour of chest compressions, our patient recovered completely.
R Jacobs; P M Honore; N Hosseinpour; K Nieboer; H D Spapen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta clinica Belgica     Volume:  67     ISSN:  1784-3286     ISO Abbreviation:  Acta Clin Belg     Publication Date:    2012 May-Jun
Date Detail:
Created Date:  2012-08-17     Completed Date:  2012-09-20     Revised Date:  2014-03-18    
Medline Journal Info:
Nlm Unique ID:  0370306     Medline TA:  Acta Clin Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  198-200     Citation Subset:  IM    
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MeSH Terms
Heart Arrest / etiology*,  therapy
Hernia, Diaphragmatic / complications,  diagnosis*,  surgery
Pregnancy Complications / diagnosis*,  surgery
Tomography, X-Ray Computed

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