Complexities In Anesthetic Management Of Peripartum Cardiomyopathy
A 37-year-old G4P1021 presented at 38 weeks gestation with pregnancy complicated by new onset peripartum cardiomyopathy with severe global hypokinesis in the setting of preeclampsia with severe features. Obstetric and anesthetic plan included induction of labor in the Cardiac Critical Care Unit, available main operating room, combined spinal-epidural (CSE), and arterial line for hemodynamic monitoring. Symptomatic hypotension following CSE and arrest of labor ultimately resulted in urgent cesarean section. This presentation will examine the complexities of anesthetic management in critically ill laboring parturients including appropriately locating care to address both peripartum and cardiac pathologies and potential for emergent surgery.
Katz E, Soto R. Complexities in anesthetic management of peripartum cardiomyopathy. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.