Abstract
Peripartum cardiomyopathy is a unique and rare kind of cardiomyopathy of unknown cause that occurs during pregnancy or the postpartum period. Regional anaesthesia for anaesthetic management of this condition has been extensively described. There are limited reports of anaesthetic management of caesarean section of this case under general anaesthesia. We report a case of 32 years old lady diagnosed to have peripartum cardiomyopathy requiring emergency caesarean section that was successfully managed under general anaesthesia. Anaesthetic management was directed towards optimization of myocardial contractility, preload and after load.
Highlights
Peripartum cardiomyopathy (PPCM) is a rare disease with incidence ranging from 1 in 300 to 1 in 4000 live births.[1]
Anaesthetic management of caesarean section in PPCM patients especially under general anaesthesia can be a challenge to the anaesthesiologist and it has scarcely been described
An 18G peripheral cannula was inserted and left radial artery was cannulated for measuring intra arterial blood pressure (IBP)
Summary
£Indira Gandhi Institute of Medical Sciences, Bailey Road, Shiekhpura, Patna, Bihar 800014, India ¥Jawaharlal Nehru Medical College, Kala Bagh, Ajmer, Rajasthan 305001, India ARTICLE INFO Article History Received 06.09.2015 Accepted 04.02.2016 Published 20.03.2016 © Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under Creative Commons Attribution License CC BY-NC-ND 4.0 that allows others to share the work with an acknowledgment of the work›s authorship and initial publication in this journal.
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