title: [Anesthesia management for cesarean section in a patient with placenta percreta].
abstract: Placenta accreta is a placental abnormality with a defect in decidua basalis. Villi tissue invades myometrium and it is difficult to exfoliate the placenta. Placenta percreta is a comparatively rare disorder in placenta accreta. This patient at pregnancy 14 weeks, exploratory laparotomy was performed for acute abdomen. At this time she was diagnosed as placenta percreta, but the pregnancy was continued. Caesarean section was scheduled in 37 weeks 0 days of pregnancy and combined spinal-epidural anesthesia was used. After the operation, we moved the patient to the angiography room to perform uterus artery embolization (UAE). While moving, we monitored maternal hemodynamics using a transportable monitor. During the cesarean section in the operation room, and in moving to the angiography room and in the angiography room, we used the same transportable monitor for secure perioperative management.
authors.affiliation: Department of Anesthesiology, National Defense Medical College, Tokorozawa 359-8513.
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Kitai
authors.forename: Masaaki
authors.initials: M
authors.lastname: Shizukuishi
authors.forename: Isao
authors.initials: I
authors.lastname: Fukuda
authors.forename: Hideo
authors.initials: H
authors.lastname: Matsuda
authors.forename: Tomiei
authors.initials: T
authors.lastname: Kazama
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000601:surgery*; D011247:Pregnancy