Anaesthetic Management of a Patient with Peripartum Cardiomyopathy: A Case Report

Authors

  • Nepal Chandra Saha Consultant, Cardiac Anaesthesiology, Ibn Sina Cardiac Center, Dhaka
  • Md Sirajul Islam Consultant & Associate Professor, Department of Cardiac Anaesthesia, Ibrahim Cardiac Hospital & Research Institute, Dhaka
  • Niaz Ahmed Consultant, Department of Cardio - thoracic Anaesthesia & ICU, Apollo Hospital, Dhaka
  • Siba Pada Roy Associate Consultant, Department of Cardiac Anaesthesia, Ibrahim Cardiac Hospital & Research Institute, Dhaka
  • Pradip Kumar Sarker Associate Consultant, Department of Cardiac Anaesthesia, Ibrahim Cardiac Hospital & Research Institute, Dhaka
  • - Jalaluddin Senior Consultant & Head, Department of Cardiac Surgery, Ibn sina Cardiac Center, Dhaka

DOI:

https://doi.org/10.3329/birdem.v5i1.28375

Keywords:

Anaesthesia, peripartum cardiomyopathy, thromboembolism, embolectomy

Abstract

Peripartum cardiomyopathy is a rare affliction of healthy, young, females characterized by congestive heart failure, intracardiac thrombus, and frequently death. PPCM is associated with a hypercoagulative state, which can cause thromboembolic complications, may be, the initial demonstration off peripartum cardiomyopathy, which is usually an intracardiac thrombosis. Lower extremity embolism is uncommon. We present a case of 22 yr old female a known case of preeclamtic toxaemia associated with bronchial asthma underwent caesarian section at 36 wks of pregnancy & developed severe respiratory distress and needed mechanical ventilation. Two weeks after delivery she developed low back pain with parasthesia of both lower limbs associated with shortness of breath & diagnosed as a case of infra-renal aortic thrombus extending down to common illiac arteries associated with postpartum dilated cardiomyopathy and admitted at our hospital for embolectomy. Infiltration anaesthesia and conscious sedation with invasive monitoring was planned. Surgery and anaesthesia proceeded uneventfully.

Birdem Med J 2015; 5(1): 50-53

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Author Biography

Nepal Chandra Saha, Consultant, Cardiac Anaesthesiology, Ibn Sina Cardiac Center, Dhaka



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Published

2016-06-25

How to Cite

Saha, N. C., Islam, M. S., Ahmed, N., Roy, S. P., Sarker, P. K., & Jalaluddin, .-. (2016). Anaesthetic Management of a Patient with Peripartum Cardiomyopathy: A Case Report. BIRDEM Medical Journal, 5(1), 50–53. https://doi.org/10.3329/birdem.v5i1.28375

Issue

Section

Case Reports