Korean J Anesthesiol.
2010 Dec;59(Suppl):S146-S149. 10.4097/kjae.2010.59.S.S146.
Acute hypertensive pulmonary edema after Cesarean section in a patient with an antepartum myocardial infarction: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, School of Medicine, Konyang University, Daejeon, Korea. kangpo1026@hanmail.net
- 2Department of Radiology, School of Medicine, Konyang University, Daejeon, Korea.
- KMID: 2237374
- DOI: http://doi.org/10.4097/kjae.2010.59.S.S146
Abstract
- We report a case of 29-year-old, morbidly obese, diabetic primigravida who had undergone previously primary percutaneous coronary intervention with stent placement for an inferior wall myocardial infarction at 10 weeks of gestation. She remained asymptomatic with medication during the remainder of her pregnancy, but preoperative echocardiography revealed left ventricular dilation and a restrictive diastolic dysfunction with a preserved ejection fraction (46%). She developed acute pulmonary edema associated with hypertension after an elective Cesarean delivery under continuous epidural anesthesia despite the meticulous restriction of fluid.
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