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- Joshua Bradley Feldman and Sangeeta Kumaraswami.
- From the Department of Anesthesiology, New York Medical College at Westchester Medical Center, Valhalla, New York.
- A A Pract. 2019 Jan 1; 12 (1): 9-14.
AbstractWe 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.
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