Aortic Compression and Cross Clamping in a Case of Placenta Percreta and Amniotic Fluid Embolism: A Case Report

Abstract Amniotic fluid embolism (AFE, also known as anaphylactoid syndrome of pregnancy) at the time of surgery for placenta percreta has been previously reported. We report here a case in which AFE and associated cardiac arrest occurred following a hysterectomy for placenta percreta. In this case,...

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Veröffentlicht in:American journal of perinatology reports 2011-09, Vol.1 (1), p.033-036
Hauptverfasser: Belfort, Michael A., Zimmerman, John, Schemmer, Glenn, Oldroyd, Ronald, Smilanich, Robert, Pearce, Michael
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Sprache:eng
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Zusammenfassung:Abstract Amniotic fluid embolism (AFE, also known as anaphylactoid syndrome of pregnancy) at the time of surgery for placenta percreta has been previously reported. We report here a case in which AFE and associated cardiac arrest occurred following a hysterectomy for placenta percreta. In this case, subhepatic manual aortic compression during the cardiac arrest and chest compressions followed by infrarenal aortic cross-clamping during volume infusion and reversal of the coagulopathy were associated with a successful resuscitation and good maternal outcome.
ISSN:2157-6998
2157-7005
DOI:10.1055/s-0031-1274513