title: Transesophageal echocardiography monitoring in the delivery of a preeclamptic parturient with severe left ventricular noncompaction.
abstract: A multidisciplinary approach to the preterm delivery of a preeclamptic parturient with severe left ventricular (LV) noncompaction and pulmonary hypertension using transesophageal echocardiography (TEE) as a monitor of hemodynamic status in lieu of a pulmonary artery catheter during general anesthesia for Cesarean section is presented. This case adds to the available literature on LV noncompaction with pulmonary hypertension in preeclamptic parturients, and addresses the anesthetic concerns and approaches to management using echocardiography in these highly complex patients.
authors.affiliation: Department of Anesthesiology, University of Kentucky, College of Medicine, 800 Rose St., Lexington, KY 40536, USA. Electronic address: ejas222@email.uky.edu.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Ashford
authors.affiliation: Department of Anesthesiology, University of Kentucky, College of Medicine, 800 Rose St., Lexington, KY 40536, USA.
authors.forename: Oksana
authors.initials: O
authors.lastname: Klimkina
authors.affiliation: Department of Anesthesiology, University of Kentucky, College of Medicine, 800 Rose St., Lexington, KY 40536, USA.
authors.forename: Zaki-Udin
authors.initials: ZU
authors.lastname: Hassan
authors.affiliation: Department of Anesthesiology, University of Kentucky, College of Medicine, 800 Rose St., Lexington, KY 40536, USA.
authors.forename: George
authors.initials: G
authors.lastname: Colclough
authors.affiliation: Department of Anesthesiology, University of Kentucky, College of Medicine, 800 Rose St., Lexington, KY 40536, USA.
authors.forename: Regina
authors.initials: R
authors.lastname: Fragneto
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000379:methods; D002585:Cesarean Section / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D006801:Humans; D056830:Isolated Noncompaction of the Ventricular Myocardium / Q000000981:diagnostic imaging*; D016343:Monitoring, Intraoperative / Q000379:methods*; D011225:Pre-Eclampsia / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging*
keywords: Anesthesia; Cardiac issues; Left ventricular noncompaction; Obstetrical; Preeclampsia; Transesophageal echocardiography