PERIOPERATIVE MANAGEMENT OF PERIPARTUM CARDIOMYOPATHY

Abstract

Background: Peripartum Cardiomyopathy (PPCM) otherwise known as pregnancy associated cardiomyopathy is a rare form of dilated cardiomyopathy which causes heart failure in parturients in the last trimester of pregnancy or early post parturition period. As the available literature on anaesthetic management of peripartum cardiomyopathy under general anaesthesia is scanty, we report the successful management of a lower segment cesarean section in a patient with PPCM.

Case presentation: A lady in her early twenties with obstetric score of G3P2L0 at 36 weeks of gestation, history of Covid-19 in her first trimester presented with worsening of breathlessness, ECHO revealed moderate left ventricular (LV) systolic dysfunction and grade II diastolic dysfunction posted for elective Lower Segmental Caesarean Section (LSCS) under general anaesthesia

Conclusion: PPCM is a life-threatening condition, there’s no fixed protocol for the management.