NYMC Faculty Publications
Cesarean Hysterectomy in a Parturient With Morbidly Adherent Placenta Complicated by Postoperative Ischemic Stroke Secondary to Vertebral Artery Dissection: A Case Report
DOI
10.1213/XAA.0000000000000829
Journal Title
A&A Practice
First Page
9
Last Page
14
Document Type
Case Report
Publication Date
January 2019
Department
Anesthesiology
Abstract
We report a case of cesarean hysterectomy in a parturient with morbidly adherent placenta that was complicated by an estimated blood loss of 25 L, with the usage of massive transfusion protocols. On the third postoperative day, symptomatology suggestive of a stroke was elicited. Imaging showed a right vertebral artery dissection with cerebellar, midbrain, and pontine infarcts. She showed gradual recovery in the following months with almost complete return to baseline function. We present this case to highlight vertebral artery dissection as a potential complication after peripartum massive blood transfusion and to consider the management decisions this scenario presents.
Recommended Citation
Feldman, J. B., & Kumaraswami, S. (2019). Cesarean Hysterectomy in a Parturient With Morbidly Adherent Placenta Complicated by Postoperative Ischemic Stroke Secondary to Vertebral Artery Dissection: A Case Report. A&A Practice, 12 (1), 9-14. https://doi.org/10.1213/XAA.0000000000000829
