Korean J Anesthesiol.  1996 Feb;30(2):228-233. 10.4097/kjae.1996.30.2.228.

Heart Failure and Pulmonary Edema in Patient with Graves` Disease during Cesarian Section

• Han CS
• Kim YJ

• KMID: 1860403
• DOI: http://doi.org/10.4097/kjae.1996.30.2.228

Abstract

We report a case of heart failure and pulmonary edema in patient with Graves disease during recovery from general anesthesia for cesarean section. A 34-year-old multigrivida, at 35 weeks gestation underwent emergency cesarian section for preterm labor, twin pregnancy and polyhydramnios. She has been treated with Graves' disease for 5 years. After premedication with propranolol and glycopyrrolate, anesthesia was induced with thiopenthal and maintained with O2 -N2 O-enflurane. At the end of skin closure, heart failure and pulmonary edema were developed. On auscultation, systolic murmur was audible at the left sternal border and immediate echocardiography revealed mitral valve prolapse accompanied with mitral regurgitation. After proper treatment, she was discharged without complication at 14 days after surgery.

Keyword

Pregnancy; cesarean section; Complications; cardiovascular; endocrine

MeSH Terms

Adult
Anesthesia
Anesthesia, General
Auscultation
Cesarean Section
Echocardiography
Emergencies
Female
Glycopyrrolate
Graves Disease
Heart Failure*
Heart*
Humans
Mitral Valve Insufficiency
Mitral Valve Prolapse
Obstetric Labor, Premature
Polyhydramnios
Pregnancy
Pregnancy, Twin
Premedication
Propranolol
Pulmonary Edema*
Skin
Systolic Murmurs
Glycopyrrolate
Propranolol