International Journal of Obstetric Anesthesia | VOL. 52
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Peripartum anesthetic management in patients with left ventricular noncompaction: a case series and review of the literature

Publication Date Nov 1, 2022

Abstract

This retrospective review focuses on peripartum anesthetic management and outcome of a series of five pregnant women with left ventricular noncompaction (LVNC). The Mayo Clinic Advanced Cohort Explorer medical database was utilized to identify women diagnosed with LVNC who had been admitted for delivery at the Mayo Clinic in Rochester, Minnesota between January 2001 and September 2021. Echocardiograms were independently reviewed by two board-certified echocardiographers, and those determined by both to meet the Jenni criteria and/or having compatible findings on magnetic resonance imaging (MRI) were included. Electronic medical records were reviewed for information pertaining to cardiac function, labor, delivery, and postpartum management. We identified 44 patients whose medical record included the term "noncompaction" or "hypertrabeculation" and who had delivered at our institution during the study period. Upon detailed review of the medical records, 36 did not meet criteria for LVNC, and three additional patients did not receive the diagnosis until after delivery, leaving five patients with confirmed LVNC who had undergone six deliveries during the study interval. All five patients had a history of arrhythmias or had developed arrhythmias during pregnancy. One patient underwent emergency cesarean delivery due to sustained ventricular tachycardia requiring three intra-operative cardioversions. This case series adds new evidence to that already available about pregnancies among women with LVNC. Favorable obstetrical outcomes...

Concepts

Left Ventricular Noncompaction Peripartum Anesthetic Management Review Of The Literature Anesthetic Management In Patients History Of Arrhythmias Postpartum Management Medical Records Hemodynamic Instability Mayo Clinic Additional Patients

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