Successful treatment of fetal cardiac arrest by left ventricular exchange transfusion.

Rodeck CH, Roberts LJ
Fetal Diagn Ther. 1994 9 (4): 213-7

PMID: 7945899 · DOI:10.1159/000263935

A 36-year-old pregnant woman with anti-HPA1a antibodies underwent six fetal platelet concentrate transfusions. During the second, at 28 weeks' gestation, fetal asystole occurred in association with a post-transfusion platelet count of 813 x 10(9)/l. Asystole was reversed by an intracardiac partial exchange transfusion of normal saline for fetal blood, simultaneously reducing fetal plasma viscosity and enabling re-commencement of the fetal circulation.

MeSH Terms (18)

Adult Antigens, Human Platelet Blood Platelets Blood Transfusion, Intrauterine Blood Viscosity Exchange Transfusion, Whole Blood Female Fetal Diseases Heart Arrest Heart Ventricles Humans Isoantibodies Male Maternal-Fetal Exchange Platelet Transfusion Pregnancy Pregnancy Complications Thrombocytopenia

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