Perioperative management of placenta percreta in a woman four months after percutaneous coronary intervention
10.3760/cma.j.cn113903-20210510-00427
- VernacularTitle:经皮冠状动脉介入术后4个月妊娠伴穿透性胎盘植入围手术期管理一例
- Author:
Shiping LIU
1
;
Lin LIU
;
Min CHEN
;
Yingdong HE
;
Huixia YANG
Author Information
1. 北京大学第一医院妇产科 100034
- Keywords:
Placenta accreta;
Percutaneous coronary intervention;
Perioperative care
- From:
Chinese Journal of Perinatal Medicine
2021;24(9):682-684
- CountryChina
- Language:Chinese
-
Abstract:
A patient was pregnant four months after the percutaneous coronary intervention, and the ultrasound indicated a complete placenta previa and a placenta percreta. Concerned about radiation and drugs exposure on the fetus, the patient chose to terminate the pregnancy. After multidisciplinary consultation, tirofiban was used for antithrombotic therapy in substitution for dual antiplatelet drugs, and an abdominal aortic balloon was inserted preoperatively. The placenta that penetrated the serous membrane and uterine wall at laparotomy was resected, and the uterus was reconstructed. Prophylactic antibiotics, anticoagulation, and transitional antiplatelet therapy with tirofiban were given after the operation. The patient was discharged on day six postoperatively.
