Opipari AnneMarie, Spizman Jocelyn, Triebwasser Jourdan, Uppal Shitanshu, Russell Mark, Pancaro Carlo
Department of Obstetrics and Gynecology, the Department of Pediatric Cardiology, and the Department of Anesthesiology, Michigan Medicine, and the University of Michigan Medical School, Ann Arbor, Michigan.
O G Open. 2025 Mar 6;2(2):e067. doi: 10.1097/og9.0000000000000067. eCollection 2025 Apr.
Placenta accreta spectrum (PAS) is a disorder of placental-uterine attachment often linked to placenta previa and prior cesarean delivery and characterized by hemorrhage with placental separation. Standard treatment for PAS in the United States is cesarean hysterectomy. is a cesarean delivery complication defined as air trapped in the venous system.
We report a coronary artery venous air embolism during a cesarean hysterectomy managed with a surgical intermission, with mortality risk assessment and temporary conservative management as a bridge to hemodynamic stability.
Venous air embolism must be promptly recognized and treated. Acute cardiac events (eg, venous air embolism) in complex obstetric surgery require a methodical approach and interdisciplinary expertise. Given the increasing incidence of PAS and complex obstetric surgery, it is crucial for physicians to be aware of management strategies.
胎盘植入谱系疾病（PAS）是一种胎盘与子宫附着的疾病，常与前置胎盘和既往剖宫产有关，其特征是胎盘剥离时出血。在美国，PAS的标准治疗方法是剖宫产子宫切除术。冠状动脉静脉空气栓塞是一种剖宫产并发症，定义为空气被困在静脉系统中。
我们报告了1例在剖宫产子宫切除术中发生冠状动脉静脉空气栓塞的病例，通过手术间歇、进行死亡风险评估以及采取临时保守治疗作为实现血流动力学稳定的过渡措施进行处理。
必须迅速识别和治疗静脉空气栓塞。复杂产科手术中的急性心脏事件（如静脉空气栓塞）需要系统的处理方法和多学科专业知识。鉴于PAS和复杂产科手术的发病率不断上升，医生了解管理策略至关重要。
