We report an uncommon case of amniotic fluid embolism (AFE) in a 24-ye
ar-old woman with a 26th-week, second pregnancy. Clinical manifestatio
ns were dominated by acute respiratory distress and pulmonary edema. R
ecovery was complete. Early invasive hemodynamic studies showed normal
function of the left ventricle with a low pulmonary artery occluded p
ressure. These findings are controversial to the concept of cardiogeni
c pulmonary edema in AFE.