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Archives of Gynecology and Obstetrics

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01-12-2004 | Case Report

Peripartum cardiomyopathy and cesarean section: report of two cases and literature review

Authors: Ivan A. Velickovic, Craig H. Leicht

Published in: Archives of Gynecology and Obstetrics | Issue 4/2004

Abstract

Introduction

The anesthetic management of labor and delivery in patients with peripartum cardiomyopathy is not well defined. Using continuous spinal anesthesia with bupivacaine or combined spinal epidural anesthesia with ropivacaine in such rare clinical situations has not been previously reported.

Case report

We present two cases in which parturients with the diagnosis of peripartum cardiomyopathy presented in congestive heart failure for emergent Cesarean section. Continuous spinal anesthesia and combined spinal-epidural anesthesia were successfully employed as the anesthetic techniques for the procedures. Both patients remained hemodynamically stable during surgery and were discharged home on postoperative days 5 and 4 respectively.

Dennehy KC, Rosaeg OP (1998) Intrathecal catheter insertion during labour reduces the risk of post-dural puncture headache. Can J Anesth 45:42–45

Domenech Asensi P, Hernandez-Palazon J, Tortosa Serrano JA, Burguillos Lopez S, Alonso Miranda B (2002) Puerperal cardiomyopathy and pulmonary edema after cesarean section. Rev Esp Anestesiol Reanim 49:156–159PubMed

Elkayam U, Tummala P, Rao K, Akhter MW, Karaalp IS, Wani OR, Hameed A, Gviazda I, Shotan A (2001) Maternal and fetal outcomes of subsequent pregnancies in women with peripartum cardiomyopathy. N Engl J Med 344:1567–1571CrossRefPubMed

Felker GM, Jaeger CJ, Klodas E, Thiemann DR, Hare JM, Hruban RH, Kasper EK, Baughman KL (2000) Myocarditis and long-term survival in peripartum cardiomyopathy. Am Heart J 140:785–791CrossRefPubMed

George LM, Gatt SP, Lowe S (1997) Peripartum cardiomyopathy: four case histories and a comment on anesthetic management. Anaesth Intensive Care 25:292–296PubMed

Homans DC (1985) Peripartum cardiomyopathy. N Engl J Med 312:1432–1437

Kaufman I, Bondy R, Benjamin A (2003) [Peripartum cardiomyopathy and thromboembolism; anesthetic management and clinical course of an obese, diabetic patient.] Can J Anaesth 50:161–165

Kestin IG, Madden AP, Mulvein JT, Goodman NW (1992) Analgesia for labour and delivery using incremental diamorphine and bupivacaine via a 32-gauge intrathecal catheter. Br J Anaesth 68:244–247PubMed

Lampert MB, Weinert L, Hibbard J (1997) Contractile reserve in patients with peripartum cardiomyopathy and recovered left ventricular function. Am J Obstet Gynecol 176:189–195PubMed

10.

Malov SS, Bucklin BA, Smith CV (1999) Intrathecal catheter as a secondary prophylaxis of postdural puncture headache. Anesth Analg 89:538–538PubMed

11.

McCarroll CP, Paxton LD, Elliott P, Wilson DB (2001) Use of remifentanil in a patient with peripartum cardiomyopathy requiring Caesarean section. Br J Anaesth 86:135–138CrossRefPubMed

12.

McIndoe AK, Hammond EJ, Babington R (1995) Peripartum cardiomyopathy presenting as cardiac arrest at induction of anesthesia for emergency cesarean section. Br J Anaesth 75:97–101PubMed

13.

Mellor DJ, Bodenham A (1996) Infiltration anaesthesia in the management of Caesarean section in a patient with peripartum cardiomyopathy. Anaesthesia 51:409

14.

Moran DH, Johnson MD (1999) Continuous spinal anesthesia with combined hyperbaric and isobaric bupivacaine in a patient with scoliosis. Anesth Analg 73:674–675

15.

Pearson GD, Veille JC, Rahimtoola S, Hsia J, Oakley CM, Hosenpud JD, Ansari A, Baughman KL (2000) Peripartum cardiomyopathy: National Heart, Lung, and Blood Institute and Office of Rare Diseases (National Institutes of Health) workshop recommendations and review. JAMA 283:1183–1188PubMed

16.

Peng TC, Chuah EC (2001) Peripartum cardiomyopathy—a case report. Acta Anaesthesiol Sin 39:47–51PubMed

17.

Pittard A, Vucevic M (1998) Regional anaesthesia with a subarachnoid microcatheter for caesarean section in a parturient with aortic stenosis. Anaesthesia 53:169–173CrossRefPubMed

18.

Ranasinghe JS, Ranasinghe N, Bailur N, Gallardo C (2001) Use of continuous spinal anesthesia for an urgent cesarean delivery. Am J Anesthesiol 28:341–343

19.

Rawal N, Schollin J, Wesstrom G (1988) Epidural versus combined spinal epidural block for cesarean section. Acta Anaesthesiol Scand 32:61–66PubMed

20.

Reimold SC, Rutherford JD (2001) Peripartum cardiomyopathy. N Engl J Med 344:1629–1630CrossRefPubMed

21.

Robson SC, Samsoon G, Boys RJ, Rodeck C, Morgan B (1993) Incremental spinal anaesthesia for elective caesarean section: maternal and fetal haemodynamic effects. Br J Anaesth 70:634–638PubMed

22.

Shnaider R, Ezri T, Szmuk P, Larson S, Warters RD, Katz J (2001) Combined spinal-epidural anesthesia for Cesarean section in a patient with peripartum dilated cardiomyopathy. Can J Anaesth 48:681–683PubMed

23.

Witlin AG, Mabie WC, Sibai BM (1997) Peripartum cardiomyopathy: an ominous diagnosis. Am J Obstet Gynecol 176:182–188PubMed

Title: Peripartum cardiomyopathy and cesarean section: report of two cases and literature review
Authors: Ivan A. Velickovic
Craig H. Leicht
Publication date: 01-12-2004
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 4/2004
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-003-0568-8

At a glance: The STEP trials

Springer Medicine

Peripartum cardiomyopathy and cesarean section: report of two cases and literature review

Abstract

Introduction

Case report

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case report

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