Anesth Pain Med.  2013 Apr;8(2):132-135.

Cardiac arrests in placenta accreta patient during emergency cesarean section: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Cheil General Hospital and Women Healthcare Center, College of Medicine, Kwandong University, Seoul, Korea. kmh1201h@naver.com

Abstract

We report the case of a patient who suffered two events of sudden cardiac arrests separately. Sudden onset of dyspnea and cardiac arrests occurred during cesarean section in a 35-year-old woman who delivered premature baby. Instant chest compression and epinephrine 1 mg was administered. She was diagnosed to have a placenta previa totalis with bleeding preoperatively and placenta accreta was noted intraoperatively. Cesarean hysterectomy was performed due to excessive hemorrhage associated with uterine atony. Another cardiac arrests occurred during hysterectomy. After instant successful resuscitation, she recovered her heart rhythm and transferred to tertiary hospital safely. She was discharged about two months later without any major physical or neurocognitive deficits.

Keyword

Cardiac arrest; Cesarean section; Placenta accreta; Placenta previa

MeSH Terms

Cesarean Section
Death, Sudden, Cardiac
Dyspnea
Emergencies
Epinephrine
Female
Heart
Heart Arrest
Hemorrhage
Humans
Hysterectomy
Placenta
Placenta Accreta
Placenta Previa
Pregnancy
Resuscitation
Tertiary Care Centers
Thorax
Uterine Inertia
Epinephrine
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