Less common causes of cardiorespiratory failure are aortic dissection, tension pneumothorax, and acute coronary syndrome. The most common differential diagnoses for cardiac arrest during or shortly after delivery include acute pulmonary embolism, air embolism, eclampsia, and peripartum cardiomyopathy, as well as septic, anaphylactic, or anesthetic shock due to spinal anesthesia. Referring to the coronary artery anatomy in a computed tomography scan of the chest, the infarcted areas correlated with 2 different coronary supply territories. Cardiac magnetic resonance imaging performed 3 months later demonstrated myocardial scarring in 2 different areas. After the patient’s transfer to the Intensive Care Unit, ST-segment elevations resolved and the myocardial infarct was managed medically. Owing to the ongoing DIC, coronary angiography could not be performed. Transesophageal echocardiography revealed hypokinesia to akinesia of the inferior wall. Laboratory results fulfilled the criteria for DIC, and hemostatic resuscitation and mechanical hemostasis were performed. Simultaneously occurring severe vaginal hemorrhage and an ST-elevation myocardial infarction (STEMI) triggered the diagnosis of AFE. Short mechanical resuscitation was performed before spontaneous circulation returned. After medical birth induction, she had a convulsive seizure and cardiorespiratory arrest. A 30-year-old primigravida and primipara woman with no prior medical history was admitted for labor after intrauterine fetal death at 37 weeks of gestation.
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