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Canadian Journal of Anesthesia, Vol 37, 469-473, Copyright © 1990 by Canadian Anesthesiologists' Society

ARTICLES

Pulmonary oedema in two parturients with hypertrophic obstructive cardiomyopathy (HOCM)

MJ Tessler, R Hudson, M Naugler-Colville and DR Biehl
Department of Anaesthesia, St. Boniface General Hospital, Winnipeg, Manitoba.

Two patients with hypertrophic obstructive cardiomyopathy (HOCM) presented for delivery. The first had a repeat Caesarean section with general anaesthesia and the second gave birth vaginally with epidural analgesia. Both patients developed pulmonary oedema in the peripartum period. These cases highlight the delicate fluid requirements of the pregnant patient with HOCM. The fluid management of the parturient is discussed with particular emphasis on the pathophysiology of HOCM. The indications for invasive monitoring are presented.




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Copyright © 1990 by the Canadian Anesthesiologists' Society.