Anesthetic management for Cesarean section in a patient with left ventricular noncompaction

Left ventricular noncompaction (LVNC) is a rare disease characterized by heart failure, arrhythmia, and embolic events. We report anesthetic management of a pregnant woman with LVNC. At 24 weeks gestation of the first pregnancy, the patient was scheduled for Cesarean section. Preoperatively the pati...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 54; no. 5; p. 522
Main Authors Uesugi, Takanobu, Nishiyama, Junji, Kimura, Yoshie, Mori, Miyako, Mikawa, Katsuya, Obara, Hidefumi
Format Journal Article
LanguageJapanese
Published Japan 01.05.2005
Subjects
Adult
Anesthesia, Obstetrical - methods
Cesarean Section - methods
Female
Humans
Pregnancy
Pregnancy Complications
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - congenital
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Summary:Left ventricular noncompaction (LVNC) is a rare disease characterized by heart failure, arrhythmia, and embolic events. We report anesthetic management of a pregnant woman with LVNC. At 24 weeks gestation of the first pregnancy, the patient was scheduled for Cesarean section. Preoperatively the patient had symptomatic heart failure, and was anesthetized with propofol and fentanyl aiming at stable intraoperative hemodynamics. About 2 years later, the patient also underwent cesarean section under spinal anesthesia at 34 weeks gestation of the second pregnancy, because her cardiac function was almost normal and she was not receiving anticoagulant therapy. Both perioperative courses were uneventful. Careful preoperative assessment and close anesthetic planning are necessary.
ISSN:0021-4892