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

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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

https://doi.org/10.18231/j.ijca.2019.058

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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.

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

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