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

Yoon, Hea Jo; Jeon, Joo Yeon; Kim, Myoung Goo; Lee, Pil Moo; Lee, Hae Kwang; Shin, Young Chul; Byun, Jae Hoon; Lee, In Ho; Jee, Young Seok

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2013;8(2):132-135.
Published online April 30, 2013.

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

Hea Jo Yoon, Joo Yeon Jeon, Myoung Goo Kim, Pil Moo Lee, Hae Kwang Lee, Young Chul Shin, Jae Hoon Byun, In Ho Lee, Young Seok Jee

Department 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.

Key Words: Cardiac arrest, Cesarean section, Placenta accreta, Placenta previa