Key result
Systematic multidisciplinary perioperative management resulted in a successful outcome for a patient with peripartum cardiomyopathy and acute heart failure requiring urgent cesarean section.
Why the study?
Peripartum cardiomyopathy with decompensated heart failure presents significant anesthetic challenges, and current literature provides limited guidance on managing critically decompensated patients.
Case Report (n=1)
Demonstrates that systematic multidisciplinary management can lead to successful outcomes in critically ill patients with peripartum cardiomyopathy undergoing urgent cesarean section.
Anesthetic management of decompensated peripartum cardiomyopathy for cesarean section is feasible; leaves open standardized protocols pending prospective data.
Peripartum cardiomyopathy with decompensated heart failure presents significant anesthetic challenges. The complex cardiac pathophysiology, compounded by physiological changes of pregnancy, predisposes these patients to cardiovascular collapse during the perioperative period. We present the systematic management of a patient presenting with severe systolic dysfunction accompanied by respiratory distress, hypoxemia, and metabolic acidosis requiring urgent lower segment cesarean section. Current literature provides limited guidance regarding the management of critically decompensated patients. Successful outcomes in such cases demand meticulous planning, coordinated multidisciplinary care, readiness to address potential complications, and thorough patient counseling.
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Choudhary et al. (2025) conducted a case report in Peripartum cardiomyopathy with acute heart failure (n=1). Systematic perioperative management was evaluated. Systematic multidisciplinary perioperative management resulted in a successful outcome for a patient with peripartum cardiomyopathy and acute heart failure requiring urgent cesarean section.
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