An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia
Anaesthetic management of cardiac disorders in pregnancy has always been complicated and challenging. A rare but extremely fatal entity, peripartum cardiomyopathy (PPCM) is a life-threatening disease affecting the parturient with mortality rates as high as 35–50%. Developing in late pregnancy or imm...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2021;volume=10;issue=11;spage=4290;epage=4292;aulast=Sahu |
| _version_ | 1818460952810487808 |
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| author | Seelora Sahu Amlan Swain Umesh Kumar Singh Rajiv Shukla |
| author_facet | Seelora Sahu Amlan Swain Umesh Kumar Singh Rajiv Shukla |
| author_sort | Seelora Sahu |
| collection | DOAJ |
| description | Anaesthetic management of cardiac disorders in pregnancy has always been complicated and challenging. A rare but extremely fatal entity, peripartum cardiomyopathy (PPCM) is a life-threatening disease affecting the parturient with mortality rates as high as 35–50%. Developing in late pregnancy or immediately after delivery, this unique disorder endangers not only the mother but the baby as well. We report here a case of a 28-year-old female parturient presenting at 37 weeks of gestation for caesarean delivery with recently diagnosed peripartum cardiomyopathy (ejection fraction of 28%) complicated by severe preeclampsia. She developed cardiac failure just before the induction of anaesthesia. She was successfully resuscitated, operated under general anaesthesia and shifted to the critical care unit for further management. |
| first_indexed | 2024-12-14T23:38:26Z |
| format | Article |
| id | doaj.art-ee6c353c56ca439d80fcaa6974c0e69e |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-14T23:38:26Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-ee6c353c56ca439d80fcaa6974c0e69e2022-12-21T22:43:35ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632021-01-0110114290429210.4103/jfmpc.jfmpc_857_21An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsiaSeelora SahuAmlan SwainUmesh Kumar SinghRajiv ShuklaAnaesthetic management of cardiac disorders in pregnancy has always been complicated and challenging. A rare but extremely fatal entity, peripartum cardiomyopathy (PPCM) is a life-threatening disease affecting the parturient with mortality rates as high as 35–50%. Developing in late pregnancy or immediately after delivery, this unique disorder endangers not only the mother but the baby as well. We report here a case of a 28-year-old female parturient presenting at 37 weeks of gestation for caesarean delivery with recently diagnosed peripartum cardiomyopathy (ejection fraction of 28%) complicated by severe preeclampsia. She developed cardiac failure just before the induction of anaesthesia. She was successfully resuscitated, operated under general anaesthesia and shifted to the critical care unit for further management.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2021;volume=10;issue=11;spage=4290;epage=4292;aulast=Sahuanaesthesiacongestive cardiac failureperipartum cardiomyopathypreeclampsia |
| spellingShingle | Seelora Sahu Amlan Swain Umesh Kumar Singh Rajiv Shukla An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia Journal of Family Medicine and Primary Care anaesthesia congestive cardiac failure peripartum cardiomyopathy preeclampsia |
| title | An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia |
| title_full | An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia |
| title_fullStr | An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia |
| title_full_unstemmed | An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia |
| title_short | An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia |
| title_sort | anaesthetic quandary caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia |
| topic | anaesthesia congestive cardiac failure peripartum cardiomyopathy preeclampsia |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2021;volume=10;issue=11;spage=4290;epage=4292;aulast=Sahu |
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