title: Aortic compression and cross clamping in a case of placenta percreta and amniotic fluid embolism: a case report.
abstract: 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.
authors.affiliation: Baylor College of Medicine, Texas Medical Center, Houston, Texas.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Belfort
authors.forename: John
authors.initials: J
authors.lastname: Zimmerman
authors.forename: Glenn
authors.initials: G
authors.lastname: Schemmer
authors.forename: Ronald
authors.initials: R
authors.lastname: Oldroyd
authors.forename: Robert
authors.initials: R
authors.lastname: Smilanich
authors.forename: Michael
authors.initials: M
authors.lastname: Pearce
keywords: Amniotic fluid embolism; aortic cross clamping; bispectral index monitoring; placenta percreta; zinc protoporphyrin