关键词: 流产，稽留, 妊娠滋养细胞疾病, 心脏缺损，先天性, 休克，失血性

Abstract:

Acute hemorrhagic shock during a missed abortion procedure following congenital heart disease is a rare and complex complication that falls at the intersection of obstetrics and cardiovascular medicine, requiring consideration of the unique physiological state of congenital heart disease patients and the pathological characteristics of missed abortion. We report a case of acute hemorrhagic shock occurring in a patient undergoing a missed abortion procedure after congenital heart disease surgery. When the patient experienced hemorrhagic shock during the diagnostic curettage, an emergency uterine artery embolisation was performed. After the patient's condition stabilised post-operation, the artificial abortion with forceps curettage was performed again under B-ultrasound monitoring, and the residual tissue in the uterine cavity was successfully removed. Clinically, for the case with unclear nature of intrauterine masses, diagnostic clarification should be achieved through a comprehensive analysis of medical history, imaging examination, and post-operative pathology. In the management of rare and complex cases, it is essential to make the full use of medical resources and to implement a scientific, rational and humane approach to diagnosis and treatment, ensuring the safety of patients' lives to the greatest extent.

Key words: Abortion, missed, Gestational trophoblastic disease, Heart defects, congenital, Shock, hemorrhagic