Graves` Disease 산모에서 제왕절개술시 발생한 심부전과 폐부종

We report a case of heart failure and pulmonary edema in patient with Graves disease during recovery from general anesthesia for cesarean section. A 34-year-old multigrivida, at 35 weeks gestation underwent emergency cesarian section for preterm labor, twin pregnancy and polyhydramnios. She has been...

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Bibliographic Details
Published inKorean journal of anesthesiology Vol. 30; no. 2; pp. 228 - 233
Main Authors 한찬수, Chan Soo Han, 김유재, Yu Jae Kim
Format Journal Article
LanguageKorean
Published 대한마취통증의학회(구 대한마취과학회) 28.02.1996
Subjects
cardiovascular
cesarean section. Complications
endocrine
Pregnancy
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Summary:We report a case of heart failure and pulmonary edema in patient with Graves disease during recovery from general anesthesia for cesarean section. A 34-year-old multigrivida, at 35 weeks gestation underwent emergency cesarian section for preterm labor, twin pregnancy and polyhydramnios. She has been treated with Graves' disease for 5 years. After premedication with propranolol and glycopyrrolate, anesthesia was induced with thiopenthal and maintained with O₂-N₂O-enflurane. At the end of skin closure, heart failure and pulmonary edema were developed. On auscultation, systolic murmur was audible at the left sternal border and immediate echocardiography revealed mitral valve prolapse accompanied with mitral regurgitation. After proper treatment, she was discharged without complication at 14 days after surgery.(Korean J Anesthesiol 1996; 30: 228-233)
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419
2005-7563