Key result
Central neuraxial blockade successfully manages cesarean anesthesia in a patient with DCM and low LVEF.
Why the study?
Dilated cardiomyopathy in pregnancy poses risks of adverse cardiac events due to delivery-related hemodynamic changes, requiring thorough knowledge of perioperative anesthetic management during cesarean section.
Case Report (n=1)
Central neuraxial blockade can be successfully used for anesthetic management in parturients with dilated cardiomyopathy and low ejection fraction undergoing cesarean section.
May support cautious neuraxial use in select DCM parturients; hypothesis-generating case report requiring prospective validation.
A BSTRACT Dilated cardiomyopathy (DCM) is a primary disorder of the myocardium characterized by impaired ventricular dilatation and impaired ventricular contractility. DCM in pregnancy could be associated with adverse cardiac events. Hemodynamic changes occurring at the time of delivery challenge the functional adaptability of the already compromised cardiovascular system. Perioperative anesthetic management of a parturient with DCM undergoing cesarean section thus requires that anesthesiologists have thorough knowledge and understanding of the disease and its management. Here, we describe the successful anesthetic management of a pregnant woman with DCM with low ejection fraction who underwent a cesarean section under central neuraxial blockade.
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Sawant et al. (2023) conducted a case report in Dilated cardiomyopathy in pregnancy (n=1). Central neuraxial blockade (regional anesthesia) was evaluated on Successful anesthetic management. Central neuraxial blockade was successfully used for anesthetic management in a pregnant woman with dilated cardiomyopathy and low ejection fraction undergoing an elective cesarean section.
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