COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Article view: 310

Article download: 153

Indian Journal of Clinical Anaesthesia


Placenta percreta complicated by haemorrhagic shock and peripartum cardiomyopathy: A diagnostic as well as therapeutic dilemma


Full Text PDF Share on Facebook Share on Twitter


Case Report

Author Details : Kumar Rajani Kant, B Naveen Naik, Kamal Kajal*, Shiv Lal Soni

Volume : 6, Issue : 2, Year : 2019

Article Page : 307-309


Suggest article by email

Abstract

Peripartum cardiomyopathy (PPCM) is a rare disease that usually manifests during late pregnancy or immediately after delivery. Cardiomyopathies are a heterogenous group of disorders affecting myocardium and characterized by low ejection fraction of heart leading to significant morbidity and mortality. Anaesthetic management of these patients for complex surgeries is challenging due to relatively fixed cardiac output, limited ability of myocardium to respond to inotropic drugs because of pre-existing higher sympathetic tone and lastly these patients are more prone for subsequent heart failure and pulmonary edema. These problems are further amplified in peripartum cardiomyopathy as a result of physiological cardiovascular changes in pregnancy and labour. We report a successful anaesthetic management of a patient with placenta percreta in haemorrhagic shock with associated deep venous thrombosis posted for emergency exploratory laparotomy, complicated by peripartum cardiomyopathy.

Keywords: Peripartum, Placenta percreta, Cardiomyopathy.

Doi : 10.18231/j.ijca.2019.058

How to cite : Kant K R, Naik B N, Kajal K, Soni S L, Placenta percreta complicated by haemorrhagic shock and peripartum cardiomyopathy: A diagnostic as well as therapeutic dilemma. Indian J Clin Anaesth 2019;6(2):307-309

Copyright © 2019 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)