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Placenta accreta complicated with peripartum cardiomyopathy

Yuditiya Purwosunu1, Agrifa Hasiholan Haloho1

  • 1Department of Obstetrics and Gynaecology, University of Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

BMJ Case Reports
|March 26, 2018
PubMed

A 33-year-old G2P1 was referred to our hospital due to placenta accreta. During perioperative preparations, the patient was diagnosed with having a peripartum cardiomyopathy. The patient underwent caesarean hysterectomy at 36 weeks with an associated 2 L blood loss. Haemodynamic maintenance and stabilisation during the operation were challenging, with the combinations of fluid therapy, blood transfusions as well as vasoactive, antifibrinolytic and haemostatic drug. Postoperatively, the patient was managed in the intensive care unit and was subsequently transferred to intermediate care after less than 24 hours' observation. She was stable enough to be moved to the obstetrics ward the next day.

Keywords:
anaesthesiacardiovascular medicineobstetrics and gynaecology

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