[Severe pulmonary edema in a preeclamptic patient with peripartum cardiomyopathy].
We report a preeclamptic patient who revealed severe pulmonary edema. A 37-year-old woman, at 32-week gestation, underwent emergency cesarean section under general anesthesia. She had no particular past medical history. SpO2 was 84% (room air) on the arrival at the operating room, and a chest X-ray showed pulmonary edema. She was managed in the intensive care unit postoperatively, she received an intensive treatment (positive pressure ventilation, furosemide, and inotropic support), and was extubated successfully on the third postoperative day. From clinical course and echocardiographic findings, we consider that this pulmonary edema was caused by peripartum cardiomyopathy.
Fukuyama
T
T
Department of Anesthesiology, Saitama Medical Center, Saitama Medical School, Saitama 350-8550.
Koyama
K
K
Handa
F
F
Terui
K
K
Miyao
H
H
Kawazoe
T
T
D000328:Adult; D009202:Cardiomyopathies / Q000150:complications*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011225:Pre-Eclampsia / Q000601:surgery; D011247:Pregnancy; D011654:Pulmonary Edema / Q000209:etiology*