title: [Suspected case of peripartum cardiomyopathy during perioperative period--a case report].
abstract: A 31-year-old primigravida was admitted for control of twin gestation and delivery. At 36-week gestation, an emergent cesarean section was performed under combined spinal-epidural anesthesia because of progression of PIH. Anesthetic course was uneventful until the operation was finished. An hour later, systolic blood pressure started to decline to reach about 70 mmHg and Sp(O2) about 80%. Pleural effusion was observed in the chest X-ray on post-operative day 1. Echocardiography showed akinesis of the antero-septal wall with ejection fraction (EF) of 47%. Peripartum cardiomyopathy (PPCM) was strongly suspected. HELLP syndrome and DIC were also combined with PPCM, so intensive care was given to her from the 1st POD. Symptoms of heart failure were alleviated by furosemide and carperitide by the 12th POD. The EF increased to 58% on the 11th POD.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo 113-8431.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kozono
authors.forename: Saiko
authors.initials: S
authors.lastname: Wakabayashi
authors.forename: Nozomi
authors.initials: N
authors.lastname: Ando
authors.forename: Mineko
authors.initials: M
authors.lastname: Asano
authors.forename: Atsuko
authors.initials: A
authors.lastname: Hara
authors.forename: Maiko
authors.initials: M
authors.lastname: Hasegawa
authors.forename: Seijirou
authors.initials: S
authors.lastname: Sonoda
authors.forename: Eiichi
authors.initials: E
authors.lastname: Inada
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000628:therapy; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation; D005260:Female; D017359:HELLP Syndrome; D006801:Humans; D019990:Perioperative Care; D059035:Perioperative Period; D058725:Peripartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome