Key result
Combined spinal-epidural anesthesia with low-dose fentanyl successfully manages emergency Caesarean section in peripartum cardiomyopathy.
Case Report (n=1)
Combined spinal-epidural anesthesia with low-dose fentanyl was successfully used in a patient with peripartum cardiomyopathy undergoing emergency Caesarean section.
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May support individualized CSE use in peripartum cardiomyopathy; leaves open need for prospective safety data.
Peripartum cardiomyopathy (PPCM) is defined as the onset of acute heart failure without demonstrable cause in the last trimester of pregnancy or within the first six months after delivery. We report a case of PPCM (LVEF < 39%) in a 30-year-old housekeeper requiring emergency Caesarean section, who was successfully managed with combined spinal-epidural anesthesia, using low-dose fentanyl for the spinal anesthesia.
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Osinaike et al. (2011) conducted a case report in Peripartum cardiomyopathy (n=1). Combined spinal-epidural anesthesia was evaluated on Successful management. Combined spinal-epidural anesthesia using low-dose fentanyl successfully managed a 30-year-old patient with peripartum cardiomyopathy requiring an emergency Caesarean section.
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