Cardiomyopathy in pregnancy and caesarean section: Four case reports

Summary We present the clinical details of four women with cardiomyopathy who required caesarean section. Two women had peripartum cardiomyopathy and two had hypertrophic obstructive cardiomyopathy, one of whom has had two caesarean sections. Those with peripartum cardiomyopathy were more compromise...

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Bibliographic Details
Published inInternational journal of obstetric anesthesia Vol. 16; no. 1; pp. 68 - 73
Main Authors Pryn, A, Bryden, F, Reeve, W, Young, S, Patrick, A, McGrady, E.M
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.01.2007
Subjects
Adult
Anesthesia & Perioperative Care
Anesthesia, Obstetrical - methods
Anesthesiology
Caesarean section
Cardiomyopathy
Cardiomyopathy, Dilated - diagnostic imaging
Cardiomyopathy, Dilated - physiopathology
Cardiomyopathy, Dilated - therapy
Cardiomyopathy, Hypertrophic - diagnostic imaging
Cardiomyopathy, Hypertrophic - physiopathology
Cardiomyopathy, Hypertrophic - therapy
Cesarean Section
Female
Humans
Interdisciplinary Communication
Multidisciplinary team
Obstetrics
Obstetrics and Gynecology
Pregnancy
Pregnancy Complications, Cardiovascular - diagnostic imaging
Pregnancy Complications, Cardiovascular - physiopathology
Pregnancy Complications, Cardiovascular - therapy
Regional anaesthesia
Risk Factors
Thromboembolism - prevention & control
Ultrasonography
United Kingdom
Caesarean section
Multidisciplinary team
Cardiomyopathy
Regional anaesthesia
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Summary:Summary We present the clinical details of four women with cardiomyopathy who required caesarean section. Two women had peripartum cardiomyopathy and two had hypertrophic obstructive cardiomyopathy, one of whom has had two caesarean sections. Those with peripartum cardiomyopathy were more compromised than those with hypertrophic obstructive cardiomyopathy. Co-operation between obstetric and cardiac anaesthetists ensured optimum experience was available. An incremental combined spinal-epidural technique with invasive monitoring was used for three women and one received general anaesthesia. The risks and benefits of different anaesthetic techniques are discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2006.07.006