| Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta. | |
| | |
MedLine Citation:
|
PMID: 20358016 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Abnormal attachment of the placenta (Placenta accreta, increta, and percreta) is an uncommon but potentially lethal cause of maternal mortality from massive postpartum hemorrhage. A 33-yr-old woman, who had been diagnosed with a placenta previa, was referred at 30 weeks gestation. On ultrasound, a complete type of placenta previa and multiple intraplacental lacunae, suggestive of placenta accreta, were noted. For further evaluation of the placenta, pelvis MRI was performed and revealed findings suspicious of a placenta increta. An elective cesarean delivery and subsequent hysterectomy were planned for the patient at 38 weeks gestation. On the day of delivery, endovascular catheters for balloon occlusion were placed within the hypogastric arteries, prior to the cesarean section. In the operating room, immediately after the delivery of the baby, bilateral hypogastric arteries were occluded by inflation of the balloons in the catheters previously placed within. With the placenta retained within the uterus, a total hysterectomy was performed in the usual fashion. The occluding balloons were deflated after closure of the vaginal cuff with hemostasis. The patient had stable vital signs and normal laboratory findings during the recovery period; she was discharged six days after delivery without complications. The final pathology confirmed a placenta increta. |
| | |
Authors:
|
Kyong Wook Yi; Min-Jeong Oh; Tae-Seok Seo; Kyeong A So; Yu Chin Paek; Hai-Joong Kim |
Related Documents
:
|
7994746 - Percutaneous transvenous mitral commissurotomy using the inoue balloon: international e... 8792986 - Fluoroscopically assisted thromboembolectomy: an improved method for treating acute art... 9367116 - Dilatation of congenital valvular aortic stenosis using inoue balloon. 1084446 - Support of the myocardium with intra-aortic balloon counterpulsation following cardiopu... 3717736 - Congenital cardiac defects in calves. 20977826 - Retrograde transcatheter closure of large coronary fistulas with the amplatzer vascular... |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-03-19 |
Journal Detail:
|
Title: Journal of Korean medical science Volume: 25 ISSN: 1598-6357 ISO Abbreviation: J. Korean Med. Sci. Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-01 Completed Date: 2010-06-28 Revised Date: 2010-09-30 |
Medline Journal Info:
|
Nlm Unique ID: 8703518 Medline TA: J Korean Med Sci Country: Korea (South) |
Other Details:
|
Languages: eng Pagination: 651-5 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arteries / surgery* Balloon Dilatation* Cesarean Section Female Gestational Age Humans Hysterectomy / methods* Placenta / blood supply*, ultrasonography Placenta Accreta / surgery*, ultrasonography Placenta Previa / surgery*, ultrasonography Postpartum Hemorrhage / prevention & control* Pregnancy Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Acute shunt malfunction after cesarean section delivery: a case report.
Next Document: Erratum: figure correction.