Key result
General anaesthesia was successfully used for caesarean delivery in a 28-year-old parturient with peripartum cardiomyopathy and severe preeclampsia who developed cardiac failure.
Why the study?
Anaesthetic management of cardiac disorders in pregnancy is complicated and challenging, particularly in life-threatening conditions like peripartum cardiomyopathy with mortality rates as high as 35-50%.
Case Report (n=1)
Prompt resuscitation and general anaesthesia can be successfully employed for caesarean delivery in parturients with severe peripartum cardiomyopathy and preeclampsia.
Provides anecdotal PPCM anesthetic experience; leaves open standardized protocols for prospective validation.
Anaesthetic management of cardiac disorders in pregnancy has always been complicated and challenging. A rare but extremely fatal entity, peripartum cardiomyopathy (PPCM) is a life-threatening disease affecting the parturient with mortality rates as high as 35-50%. Developing in late pregnancy or immediately after delivery, this unique disorder endangers not only the mother but the baby as well. We report here a case of a 28-year-old female parturient presenting at 37 weeks of gestation for caesarean delivery with recently diagnosed peripartum cardiomyopathy (ejection fraction of 28%) complicated by severe preeclampsia. She developed cardiac failure just before the induction of anaesthesia. She was successfully resuscitated, operated under general anaesthesia and shifted to the critical care unit for further management.
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Sahu et al. (2021) conducted a case report in Peripartum cardiomyopathy and severe preeclampsia (n=1). General anaesthesia was evaluated on Clinical outcome. General anaesthesia was successfully used for caesarean delivery in a 28-year-old parturient with peripartum cardiomyopathy and severe preeclampsia who developed cardiac failure.
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