Anesthetic Management of Peripartum Cardiomyopathy in a Patient Undergoing Cesarean Section: A Case Report
Manejo anestésico de la miocardiopatía periparto en una paciente sometida a cesárea: Reporte de caso
DOI:
https://doi.org/10.22258/hgh.v10i3.476Abstract
Peripartum cardiomyopathy (PPCM) is a rare condition characterized by left ventricular dysfunction and heart failure symptoms that manifest during the peripartum period in previously healthy women. The anesthetic management of an obstetric patient with concurrent cardiovascular pathology presents a significant challenge for the anesthesiologist. The objective is to report a case of anesthetic management of peripartum cardiomyopathy in a patient undergoing cesarean section in a hospital with limited hemodynamic resources. We report the case of a 23-year-old gravida 3, para 2, abortus 1 (G3P2A1) patient with a left ventricular ejection fraction (LVEF) of 19% and New York Heart Association (NYHA) functional class IV, who presented with fever, cough, tachycardia, and tachypnea and was diagnosed with PPCM. After clinical deterioration, a cesarean section under general anesthesia was indicated, resulting in the birth of a neonate with Apgar scores of 8 and 9 and a favorable maternal outcome. This report highlights the importance of a multidisciplinary and individualized approach for patients with PPCM. Keywords: Anesthesia; Peripartum Cardiomyopathy; Cesarean Section; Heart Failure; Angola (Source: MeSH, NLM).Downloads
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Copyright (c) 2026 Bárbara Tchissola Sanjulo da Rocha Quilezi, Jesler Bravo Peña, Fernando Alberto Quilezi
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