Korean J Anesthesiol.  1997 Apr;32(4):658-662. 10.4097/kjae.1997.32.4.658.

Epidoral Anesthesia For Cesarean Section in Pregnant Woman with Peripartum Cardiomyopathy

• Lee CH
• Lee GY
• Chung RK
• Han JI
• Han KR

• KMID: 1934628
• DOI: http://doi.org/10.4097/kjae.1997.32.4.658

Abstract

Peripartum cardiomyopathy(PPCM) is a relatively rare form of acute heart failure, which may result in severe cardiac failure and death. In part this may be due to late diagnosis and inappropriate treatment. Also diagnosis in the last trimester is complicated by the fact that the early symptoms of this disorder may mimic the symptoms of normal pregnancy. We experienced and reported a 35-year-old primigravida who was diagnosed with PPCM and undertaken emergency cesarean section with epidural anesthesia. PPCM must be considered in any patient who presents with newly onset of peripheral edema, dyspnea on exertion, or paroxysmal nocturnal dyspnea during late pregnancy or up to 5 months postpartum. We suggest that early and precise diagnosis is associated with a better outcome.

Keyword

Anesthetic techniques; Epidural; Pregnancy; Peripartumcardiomyopathy

MeSH Terms

Adult
Anesthesia*
Anesthesia, Epidural
Cardiomyopathies*
Cesarean Section*
Delayed Diagnosis
Diagnosis
Dyspnea
Edema
Emergencies
Female
Heart Failure
Humans
Peripartum Period*
Postpartum Period
Pregnancy
Pregnancy Trimester, Third
Pregnant Women*