Abstract
This paper describes the anaesthetic management of a 29-year-old woman for an elective repeal Caesarean section. A diagnosis of peripartum cardiomyopathy (PPCM) had been made after her first delivery by Caesarean section three years earlier. Although the patient was currently asymptomatic, recent echocardiography demonstrated persistent left ventricular dilatation. The choice of haemodynamic monitors and the clinical significance of PPCM in this situation are discussed.
Résumé
Cette étude décrit la conduite anesthésique chez une femme de 29 ans subissant une deuxiàme césarienne élective. Trois ans auparavant on avait diagnostiqué une cardiomyopathie péripartum (CMPP) à la suite de son premier accouchement par césarienne. Bien que la patiente fut présentement asymptomatique, une échocardiographie récente démontrait une dilatation ventriculaire gauche persistante. On discute du choix de moniteurs hêmodynamiques et de ľimportance clinique de la CMPP dans cette situation.
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Gambling, D.R., Flanagan, M.L., Huckell, V.F. et al. Anaesthetic management and non-invasive monitoring for Caesarean section in a patient with cardiomyopathy. Can J Anaesth 34, 505–508 (1987). https://doi.org/10.1007/BF03014358
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DOI: https://doi.org/10.1007/BF03014358