Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation

Figure 1

Intraoperative TEE before veno-arterial-ECMO cannulation. (A) Bicaval view-large thrombus visualized in the right atrium (RA) from static blood flow and coagulopathy. (B) Trans-gastric SAX-Right ventricle (RV) thrombus occluding the right ventricular outflow tract (RVOT). Left ventricle (LV) is hyperdynamic and underfilled. (C) Four chamber view-septal bowing into the LV, D-shaped septum suggesting RV pressure overload.