Korean J Anesthesiol.  2004 Sep;47(3):433-438. 10.4097/kjae.2004.47.3.433.

Anesthetic Management of a Pregnant Patient with Severe Form of Preeclampsia and Cardiac Tamponade associated with Hypothyroidism for Emergency Cesarean Section: A case report

• Seo SH
• Cho JH
• Lyu JH
• Lee SY
• Lim JA
• Woo NS

• KMID: 2299117
• DOI: http://doi.org/10.4097/kjae.2004.47.3.433

Abstract

A 29-year-old gravida 1, para 0 patient was admitted at 31 weeks gestation with hypertension, proteinuria and generalized edema. Three days after admission, she developed cardiac tamponade, a severe form of preeclampsia, and premature labor. Anesthesia for pericardiocentesis consisted of local anesthetic infiltration of the anterior chest wall, supplemented with an oxygen mask(5 L/min). After drainage of pericardial fluid, emergency cesarean section was performed under general anesthesia. After surgery, she was studied for the cause of the cardiac tamponade, and subsequently was diagnosed to have hypothyroidism. Pericardial effusion as a hypothyroidism associated sign, is something that is frequently found; nevertheless, cardiac tamponade as the first sign of this disease may be considered exceptional especially in a pregnant woman. We exprienced a case of hypothyroidism during a 29-year-old woman's first pregnancy, complicated by a severe form of preeclampsia and pericardial effusion.

Keyword

cardiac tamponade; hypothyroidism; preeclampsia

MeSH Terms

Adult
Anesthesia
Anesthesia, General
Cardiac Tamponade*
Cesarean Section*
Drainage
Edema
Emergencies*
Female
Humans
Hypertension
Hypothyroidism*
Obstetric Labor, Premature
Oxygen
Pericardial Effusion
Pericardiocentesis
Pre-Eclampsia*
Pregnancy
Pregnant Women
Proteinuria
Thoracic Wall
Oxygen