Peri-Operative Management of Peri-Partum Heart Failure
We present a case of a 39-year-old female with a past medical history of Peripartum Heart Failure and Polycystic Ovarian Syndrome who had presented at 20 weeks’ gestation worsening difficulty breathing and a 15% ejection fraction for a Suction and Evacuation procedure. Decision was made to intubate the patient for the procedure. During the case, the patient became hypotensive, tachycardic, and went into flash pulmonary edema. Procedure was successful and patient remained intubated and was taken to the Intensive Care Unit for Hemodynamic monitoring. We will discuss the hemodynamic monitoring, early recognition of symptoms, and treatment of peripartum cardiomyopathy in the intraoperative setting.
Yousef J, Soto RG. Peri-operative management of peri-partum heart failure. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 9-11; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/4532