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

Belfort, Michael A.; Zimmerman, John; Schemmer, Glenn; Oldroyd, Ronald; Smilanich, Robert; Pearce, Michael

doi:10.1055/s-0031-1274513

Cited by 8 publications

(10 citation statements)

References 14 publications

(14 reference statements)

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“…The blood flow in these anastomotic channels is preserved by maintaining blood pressure while the aorta is clamped 13 . The duration for which the aorta can be clamped safely has been reported as 90–150 min 7,8,13,14 . A recent animal study found reduced tensile strength of the aortic wall without any histologic changes after 60 min of cross clamping 15…”

Section: Discussionmentioning

confidence: 99%

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Aortic clamping for limiting blood loss at cesarean hysterectomy for placenta percreta: A case series

Joshi

Otiv

Sovani

et al. 2021

Intl J Gynecology & Obste

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Placenta accreta spectrum (PAS), particularly placenta percreta, is a dreaded complication of pregnancy in which there is abnormal invasion of placental trophoblast into the muscular wall of usually the lower segment of the uterus and the adjacent urinary bladder with abundant neo-vascularization in the utero-vesical space. Rising cesarean section rates 1 and in vitro fertilization conceptions 2 ensure increasing incidence of PAS disorders.One definitive method of care is classical cesarean section followed by total hysterectomy without disturbing the placenta.Another approach is to resect the part of the myometrium invaded by the placenta and repair the defect to conserve the uterus. 3,4 The major challenge is to control blood loss during separation of the bladder from the invaded lower segment so that remaining steps of hysterectomy can be completed. The numerous newly

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Section: Discussionmentioning

confidence: 99%

“…Recurrent placental adhesive disease has been reported in 30% of subsequent pregnancies 6 . A few case reports have found satisfactory hemostasis with aortic cross clamping during hysterectomy for placenta percreta 7–9 …”

Section: Introductionmentioning

confidence: 99%

Aortic clamping for limiting blood loss at cesarean hysterectomy for placenta percreta: A case series

Joshi

Otiv

Sovani

et al. 2021

Intl J Gynecology & Obste

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“…We do recognize that there is a failure rate of internal iliac ligation and that it can be unsuccessful at stopping hemorrhage in some cases [ 16 ]. In this subset of patients, one may consider internal aortic compression as a means of temporizing blood loss while hysterectomy is performed [ 17 ]. In this patient, she did have significant blood loss documented at 2.5L, but much of the blood loss occurred prior to the hysterectomy from the area of rupture and can be attributed to the preexisting intraabdominal hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Hysterectomy with Fetus In Situ for Uterine Rupture at 21-Week Gestation due to a Morbidly Adherent Placenta

Pizzuto

Ozimok

Bozanovic

et al. 2018

Case Reports in Obstetrics and Gynecology

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Background Uterine rupture due to a morbidly adherent placenta is a rare obstetrical cause of acute abdominal pain in the pregnant patient. We present a case to add to the small body of published literature describing this diagnosis. Case A 32-year-old G5T2P1A1L2 with multiple prior cesarean sections presented at 21+3 weeks' gestation with abdominal pain and presyncope. Ultrasound showed a large volume of complex intraabdominal free fluid and a heterogenous placenta with irregular lacunae and increased vascularity extending to the posterior bladder wall. Exploratory laparotomy identified a uterine defect and a hysterectomy was performed due to significant bleeding. Pathology confirmed a diagnosis of placenta percreta. Conclusion Early recognition and management of uterine rupture due to a morbidly adherent placenta are essential to prevent catastrophic hemorrhage.

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“…52,54 In the nonarrest population, manual LUD compared with 15° left lateral tilt has been shown to result in less hypotension and a significantly lower ephedrine requirement during a cesarean delivery. 55 Additional benefits of manual LUD over tilt include easier access for both airway management and defibrillation. While manual LUD is performed, the patient can remain supine and receive usual resuscitative measures, including high-quality chest compressions without hindrance (Figure 3).…”

Section: Adult Chest Compression Sciencementioning

confidence: 99%

“…The vertical incision also opens the abdomen for manual compression of the aorta, which has been described as a lifesaving temporizing maneuver for women with catastrophic pelvic hemorrhage. 55 Both hyperkalemic and hypocalcemic arrest are best treated with calcium chloride and chest compressions. In addition, hyperkalemia should be treated with drugs that shift potassium into cells (eg, sodium bicarbonate, insulin and dextrose, and a β2-agonist),…”

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confidence: 99%

Cardiac Arrest in Pregnancy

Jeejeebhoy¹,

Zelop²,

Lipman³

et al. 2015

Circulation

310

111

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Abstract-This is the first scientific statement from the American Heart Association on maternal resuscitation. This document will provide readers with up-to-date and comprehensive information, guidelines, and recommendations for all aspects of maternal resuscitation. Maternal resuscitation is an acute event that involves many subspecialties and allied health providers; this document will be relevant to all healthcare providers who are involved in resuscitation and specifically maternal resuscitation. Key Words: AHA Scientific Statements ■ cardiopulmonary resuscitation ■ heart arrest ■ pregnancy © 2015 American Heart Association, Inc.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000300The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on July 6, 2015, and the American Heart Association Executive Committee on August 24, 2015. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The online-only Data Supplement is available with this article at http://circ.ahajournals.org/lookup/suppl/doi:10.1161/CIR.0000000000000300/-/DC1. The American Heart Association requests that this document be cited as follows: Jeejeebhoy FM, Zelop CM, Lipman S, Carvalho B, Joglar J, Mhyre JM, Katz VL, Lapinsky SE, Einav S, Warnes CA, Page RL, Griffin RE, Jain A, Dainty KN, Arafeh J, Windrim R, Koren G, Callaway CW; on behalf of the American Heart Association Emergency Cardiovascular Care Committee, Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Cardiovascular Diseases in the Young, and Council on Clinical Cardiology. Cardiac arrest in pregnancy: a scientific statement from the American Heart Association. Circulation. 2015;132:1747-1773 Expert peer review of AHA Scientific Statements is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit http://my.americanheart.org/statements and select the "Policies and Development" link.Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at http://www.heart.org/HEARTORG/General/CopyrightPermission-Guidelines_UCM_300404_Article.jsp. A link to the "Copyright Permissions Request Form" appears on the right ...

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

Cited by 8 publications

References 14 publications

Aortic clamping for limiting blood loss at cesarean hysterectomy for placenta percreta: A case series

Aortic clamping for limiting blood loss at cesarean hysterectomy for placenta percreta: A case series

Hysterectomy with Fetus In Situ for Uterine Rupture at 21-Week Gestation due to a Morbidly Adherent Placenta

Cardiac Arrest in Pregnancy

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