Authors : Kumar Rajani Kant, B Naveen Naik, Kamal Kajal, Shiv Lal Soni
DOI : 10.18231/j.ijca.2019.058
Volume : 6
Issue : 2
Year : 2019
Page No : 307-309
Peripartum cardiomyopathy (PPCM) is a rare disease that usually manifests during late pregnancy or immediately after delivery. Cardiomyopathies are a heterogenous group of disorders affecting myocardium and characterized by low ejection fraction of heart leading to significant morbidity and mortality. Anaesthetic management of these patients for complex surgeries is challenging due to relatively fixed cardiac output, limited ability of myocardium to respond to inotropic drugs because of pre-existing higher sympathetic tone and lastly these patients are more prone for subsequent heart failure and pulmonary edema. These problems are further amplified in peripartum cardiomyopathy as a result of physiological cardiovascular changes in pregnancy and labour. We report a successful anaesthetic management of a patient with placenta percreta in haemorrhagic shock with associated deep venous thrombosis posted for emergency exploratory laparotomy, complicated by peripartum cardiomyopathy.
Keywords: Peripartum, Placenta percreta, Cardiomyopathy.