Korean J Anesthesiol.  2010 Nov;59(5):353-358. 10.4097/kjae.2010.59.5.353.

Combined epidural anesthesia and ultrasound guided peripheral nerve block for wound revision in a patient with peripartum cardiomyopathy: A case report

• Gong TK
• Kim SS

• KMID: 2239767
• DOI: http://doi.org/10.4097/kjae.2010.59.5.353

Abstract

Peripartum cardiomyopathy (PPCM) is a rare complication that occurs between the late stage of pregnancy and six months after delivery. PPCM presents as symptoms of left ventricular dysfunction and it can be fatal unless treated promptly. Furthermore, anesthesia and surgery in such patients is a large challenge to anesthesiologists. First and foremost, the maintenance of stable hemodynamics is a major concern. We report a case of combined lumbar epidural anesthesia and both ilioinguinal and iliohypogastric nerve block under ultrasound guided for a wound revision in a 37-year-old woman diagnosed with PPCM after an emergency cesarean section.

Keyword

Anesthesia; Epidural; Ilioinguinal and iliohypogastric nerve block; Peripartum cardiomyopathy; Ultrasonography; Ventricular dysfunction

MeSH Terms

Adult
Anesthesia
Anesthesia, Epidural
Cardiomyopathies
Cesarean Section
Emergencies
Female
Hemodynamics
Humans
Nerve Block
Peripartum Period
Peripheral Nerves
Pregnancy
Ventricular Dysfunction
Ventricular Dysfunction, Left