Complexities In Anesthetic Management Of Peripartum Cardiomyopathy

Document Type

Conference Proceeding - Restricted Access

Publication Date



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.


American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019. Abstract.