Key result
Emergency hysterectomy and tailored anesthetic management, including careful central venous cannulation to avoid AICD lead dislodgement, successfully stabilized a patient with HOCM and severe postpartum hemorrhage.
Case Report (n=1)
Careful anesthetic management with invasive monitoring, tailored induction agents, and aggressive resuscitation is essential for successful outcomes in patients with HOCM and an AICD experiencing severe postpartum hemorrhage.
May guide individualized anesthesia in HOCM with PPH; hypothesis-generating and leaves open need for larger studies.
The physiological changes occurring during pregnancy and labor may reveal or exacerbate the symptoms of hypertrophic obstructive cardiomyopathy (HOCM). The addition of obstetric hemorrhage to this presents a unique challenge to the anesthesiologists and intensivists managing these patients in the operation theatres and the Intensive Care Units. Here we present a case of HOCM with automatic implantable cardioverter defibrillator in situ and postpartum hemorrhagic shock.
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Mishra et al. (2015) conducted a case report in Hypertrophic obstructive cardiomyopathy with AICD and postpartum hemorrhage (n=1). Emergency hysterectomy and tailored anesthetic management was evaluated. Emergency hysterectomy and tailored anesthetic management, including careful central venous cannulation to avoid AICD lead dislodgement, successfully stabilized a patient with HOCM and severe postpartum hemorrhage.
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