Aortic compression and cross clamping in a case of placenta percreta and amniotic fluid embolism: a case report

AJP Rep. 2011 Sep;1(1):33-6. doi: 10.1055/s-0031-1274513. Epub 2011 Mar 18.


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.

Keywords: Amniotic fluid embolism; aortic cross clamping; bispectral index monitoring; placenta percreta; zinc protoporphyrin.

Publication types

  • Case Reports