# Successful Perimortem Cesarean Section With Cardiopulmonary Resuscitation and Anesthesia: A Report of an Unique Case

## TL;DR

A pregnant woman with preeclampsia had a cardiac arrest but survived after a cesarean section, CPR, and brain hypothermia.

## Contribution

First case report of a perimortem cesarean section with brain hypothermia during cardiac arrest in pregnancy.

## Key findings

- Perimortem cesarean section, CPR, and anesthesia led to positive maternal and neonatal outcomes.
- Therapeutic brain hypothermia was successfully applied in this unique clinical scenario.
- The case highlights the importance of rapid, coordinated interventions during obstetric emergencies.

## Abstract

Cardiac arrest after acute pulmonary edema in pregnancy is an uncommon event but one with a potentially disastrous outcome. We report the case of a pregnant woman with preeclampsia who presented with rapidly advancing pulmonary edema and subsequently went into cardiac arrest on arrival at the operating room. A perimortem cesarean section was performed in addition to cardiopulmonary resuscitation and anesthesia. These simultaneous treatments resulted in excellent maternal and neonatal outcomes. Moreover, therapeutic brain hypothermia was performed. To our knowledge, this is the first case report of a patient undergoing a cesarean section during cardiac arrest and treated with brain hypothermia. We discuss some of the issues arising from the case in this report.