• Users Online: 453
  • Print this page
  • Email this page
CASE REPORT
Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 29-30

Cesarean Section in Patients with Hypertrophy Cardiomyopathy done Under Epidural Anesthesia


1 MD Anaesthesia and Intensive care, Assistant Professor, IGIMS, Patna, India
2 MD Anaesthesia and Intensive care, Additional Professor, IGIMS, Patna, India

Correspondence Address:
Swati Singh
Assistant Professor Department of Anesthesia, IGIMS
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Hypertrophic cardiomyopathy is characteristically associated with asymmetric hypertrophy of interventricular septum causing partial obstruction of the left ventricular outflow and reducing ejection fraction. Since Hypertrophic cardiomyopathy is the most common genetic cardiovascular disease, it is very commonly encountered by anesthesiologist during preoperative examination. Surgery and anesthesia often complicate the perioperative outcome if adequate monitoring and proper care are not taken. General anaesthesia is considered safer because of more cantrolled hemodynamics. Regional anesthesia is considered to be dangerous in these patients, especially in those with obstructive HCM, vasodilation associated with sympathetic blockade of the lower extremities may lead to a critical reduction of preload and afterload. Nevertheless, epidural anesthesia has been used safely for vaginal delivery in patients with HCM. Our report indicates that cesarean section also may be managed safely with epidural anesthesia in patients with HCM, by taking precaution.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed719    
    Printed32    
    Emailed0    
    PDF Downloaded52    
    Comments [Add]    

Recommend this journal