Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report.

Autor:	Ohsugi, Eriko, Kato, Rie, Hosokawa, Yuki, Oe, Katsunori
Předmět:	PLACENTA accreta BALLOON occlusion PLACENTA praevia CARDIOGENIC shock HYSTERECTOMY ANESTHETICS PREGNANT women
Zdroj:	JA Clinical Reports; 4/24/2023, Vol. 9 Issue 1, p1-5, 5p
Abstrakt:	Background: In patients with Fontan circulation, hemorrhage can cause life-threatening circulatory collapse, since Fontan circulation strongly depends on the preload. Furthermore, parturients with placenta accreta spectrum are at a high risk of rapid and massive hemorrhage. Herein, we report the case of an intra-aortic balloon occlusion used for a Fontan-palliated parturient with placenta increta with successful anesthetic management. Case presentation: A 35-year-old-female with Fontan circulation diagnosed with placenta increta underwent a cesarean hysterectomy. The main goal during anesthetic management was to maintain sufficient preload. Infrarenal intra-aortic balloon occlusion was used to reduce intraoperative hemorrhage. The hemodynamic changes caused were well tolerated in this case. Conclusions: Intra-aortic balloon occlusion was used in a Fontan-palliated parturient with placenta increta with successful anesthetic management. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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