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Canadian Journal of Anesthesia, Vol 34, 505-508, Copyright © 1987 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthetic management and non-invasive monitoring for caesarean section in a patient with cardiomyopathy

DR Gambling, ML Flanagan, VF Huckell, SB Lucas and JH Kim
Department of Anaesthesia, University of British Columbia, Vancouver.

This paper describes the anaesthetic management of a 29-year-old woman for an elective repeat 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.


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Copyright © 1987 by the Canadian Anesthesiologists' Society.