title: Synchronous autotransfusion during cesarean hysterectomy.
abstract: Placenta accreta is associated with major morbidities including massive hemorrhage. We report a cesarean hysterectomy for placenta accreta with synchronous autotransfusion using a standard cardiopulmonary bypass machine. This technique requires complete intraoperative heparinization yet has the advantage of autotransfusion of autologous clotting factors and platelets in addition to red blood cells.
authors.affiliation: Department of Obstetrics and Gynecology, University of California, Irvine, Orange, USA.
authors.forename: Tamera
authors.initials: T
authors.lastname: Hatfield
authors.forename: Heidi
authors.initials: H
authors.lastname: Kraus
authors.forename: Douglas
authors.initials: D
authors.lastname: McConnell
authors.forename: Michael
authors.initials: M
authors.lastname: Nageotte
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous; D002315:Cardiopulmonary Bypass; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007231:Infant, Newborn; D008297:Male; D010921:Placenta Accreta / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome