Key result
Transthoracic echocardiography successfully guided anesthetic management during an urgent cesarean delivery in a parturient woman with hypertrophic cardiomyopathy.
Case Report (n=1)
Transthoracic echocardiography can be effectively utilized to guide complex anesthetic management in pregnant patients with hypertrophic cardiomyopathy at risk for cardiovascular compromise.
TTE-guided anesthesia succeeded in one HCM cesarean; hypothesis-generating and should not yet change practice.
We describe the management of a parturient woman with hypertrophic cardiomyopathy who developed a symptomatic accelerated idioventricular rhythm who required an urgent cesarean delivery at 32 weeks. Transthoracic echocardiography helped guide anesthetic management, including epidural dosing, fluid management, and phenylephrine infusion rates. This case demonstrates the application of transthoracic echocardiography to guide anesthetic management in a parturient woman at risk for cardiovascular compromise.
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DesRoches et al. (2016) conducted a case report in Hypertrophic cardiomyopathy and symptomatic accelerated idioventricular rhythm (n=1). Transthoracic echocardiography-guided anesthetic management was evaluated. Transthoracic echocardiography successfully guided anesthetic management during an urgent cesarean delivery in a parturient woman with hypertrophic cardiomyopathy.
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