| Autor: |
Eriko Ohsugi, Rie Kato, Yuki Hosokawa, Katsunori Oe |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
JA Clinical Reports, Vol 9, Iss 1, Pp 1-5 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2363-9024 |
| DOI: |
10.1186/s40981-023-00611-1 |
| Popis: |
Abstract 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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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