Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report
Abstract Background In patients with Fontan circulation, hemorrhage can cause life-threatening circulatory collapse, since Fontan circulation strongly depends on the preload. Furthermore, parturients with placenta accreta spectrum are at a high risk of rapid and massive hemorrhage. Herein, we report...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-04-01
|
| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-023-00611-1 |
| _version_ | 1797836533686861824 |
|---|---|
| author | Eriko Ohsugi Rie Kato Yuki Hosokawa Katsunori Oe |
| author_facet | Eriko Ohsugi Rie Kato Yuki Hosokawa Katsunori Oe |
| author_sort | Eriko Ohsugi |
| collection | DOAJ |
| description | Abstract Background In patients with Fontan circulation, hemorrhage can cause life-threatening circulatory collapse, since Fontan circulation strongly depends on the preload. Furthermore, parturients with placenta accreta spectrum are at a high risk of rapid and massive hemorrhage. Herein, we report the case of an intra-aortic balloon occlusion used for a Fontan-palliated parturient with placenta increta with successful anesthetic management. Case presentation A 35-year-old-female with Fontan circulation diagnosed with placenta increta underwent a cesarean hysterectomy. The main goal during anesthetic management was to maintain sufficient preload. Infrarenal intra-aortic balloon occlusion was used to reduce intraoperative hemorrhage. The hemodynamic changes caused were well tolerated in this case. Conclusions Intra-aortic balloon occlusion was used in a Fontan-palliated parturient with placenta increta with successful anesthetic management. |
| first_indexed | 2024-04-09T15:11:32Z |
| format | Article |
| id | doaj.art-2ccb980e61244edd9d9cc3f1ad44f2a6 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-09T15:11:32Z |
| publishDate | 2023-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-2ccb980e61244edd9d9cc3f1ad44f2a62023-04-30T11:09:56ZengSpringerOpenJA Clinical Reports2363-90242023-04-01911510.1186/s40981-023-00611-1Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case reportEriko Ohsugi0Rie Kato1Yuki Hosokawa2Katsunori Oe3Department of Anesthesiology, Showa University School of MedicineDepartment of Anesthesiology, Showa University School of MedicineDepartment of Anesthesiology, Showa University School of MedicineDepartment of Anesthesiology, Showa University School of MedicineAbstract Background In patients with Fontan circulation, hemorrhage can cause life-threatening circulatory collapse, since Fontan circulation strongly depends on the preload. Furthermore, parturients with placenta accreta spectrum are at a high risk of rapid and massive hemorrhage. Herein, we report the case of an intra-aortic balloon occlusion used for a Fontan-palliated parturient with placenta increta with successful anesthetic management. Case presentation A 35-year-old-female with Fontan circulation diagnosed with placenta increta underwent a cesarean hysterectomy. The main goal during anesthetic management was to maintain sufficient preload. Infrarenal intra-aortic balloon occlusion was used to reduce intraoperative hemorrhage. The hemodynamic changes caused were well tolerated in this case. Conclusions Intra-aortic balloon occlusion was used in a Fontan-palliated parturient with placenta increta with successful anesthetic management.https://doi.org/10.1186/s40981-023-00611-1Fontan circulationIntra-aortic balloon occlusionObstetric hemorrhagePlacenta accreta spectrumArterial pressure-based stroke volume |
| spellingShingle | Eriko Ohsugi Rie Kato Yuki Hosokawa Katsunori Oe Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report JA Clinical Reports Fontan circulation Intra-aortic balloon occlusion Obstetric hemorrhage Placenta accreta spectrum Arterial pressure-based stroke volume |
| title | Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report |
| title_full | Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report |
| title_fullStr | Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report |
| title_full_unstemmed | Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report |
| title_short | Anesthetic management of cesarean hysterectomy using intra-aortic balloon occlusion in a patient with Fontan circulation and placenta increta: a case report |
| title_sort | anesthetic management of cesarean hysterectomy using intra aortic balloon occlusion in a patient with fontan circulation and placenta increta a case report |
| topic | Fontan circulation Intra-aortic balloon occlusion Obstetric hemorrhage Placenta accreta spectrum Arterial pressure-based stroke volume |
| url | https://doi.org/10.1186/s40981-023-00611-1 |
| work_keys_str_mv | AT erikoohsugi anestheticmanagementofcesareanhysterectomyusingintraaorticballoonocclusioninapatientwithfontancirculationandplacentaincretaacasereport AT riekato anestheticmanagementofcesareanhysterectomyusingintraaorticballoonocclusioninapatientwithfontancirculationandplacentaincretaacasereport AT yukihosokawa anestheticmanagementofcesareanhysterectomyusingintraaorticballoonocclusioninapatientwithfontancirculationandplacentaincretaacasereport AT katsunorioe anestheticmanagementofcesareanhysterectomyusingintraaorticballoonocclusioninapatientwithfontancirculationandplacentaincretaacasereport |