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

• Main Authors: Michael A. Belfort, John Zimmerman, Glenn Schemmer, Ronald Oldroyd, Robert Smilanich, Michael Pearce
• Format: Article
• Language: English
• Published: Thieme Medical Publishers, Inc. 2011-09-01
• Series: American Journal of Perinatology Reports
• Subjects: Amniotic fluid embolism; placenta percreta; aortic cross clamping; bispectral index monitoring; zinc protoporphyrin
• Online Access: https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0031-1274513

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.