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

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

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Baylor College of Medicine, Texas Medical Center, Houston, Texas.


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.


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

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