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AJP Rep 2011; 01(01): 033-036
DOI: 10.1055/s-0031-1274513
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Michael A. Belfort
1   Baylor College of Medicine, Texas Medical Center, Houston, Texas
,
John Zimmerman
2   Intermountain Healthcare, Provo, Utah
,
Glenn Schemmer
2   Intermountain Healthcare, Provo, Utah
,
Ronald Oldroyd
2   Intermountain Healthcare, Provo, Utah
,
Robert Smilanich
2   Intermountain Healthcare, Provo, Utah
,
Michael Pearce
2   Intermountain Healthcare, Provo, Utah
› Author Affiliations
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Publication History

Publication Date:
18 March 2011 (online)

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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.

Keywords

Amniotic fluid embolism - placenta percreta - aortic cross clamping - bispectral index monitoring - zinc protoporphyrin
 

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