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Rare disease
CASE REPORT
Placenta accreta complicated with peripartum cardiomyopathy
  1. Yuditiya Purwosunu,
  2. Agrifa Hasiholan Haloho
  1. Department of Obstetrics and Gynaecology, University of Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  1. Correspondence to Agrifa Hasiholan Haloho, agrifa.hasiholan{at}gmail.com

Summary

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.

  • cardiovascular medicine
  • obstetrics and gynaecology
  • anaesthesia

https://doi.org/10.1136/bcr-2017-223009

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    Footnotes

    • Contributors Investigation, software, writing—original draft and revision: AHH. Conceptualisation, supervision: YP.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.