Acute hypertensive pulmonary edema after Cesarean section in a patient with an antepartum myocardial infarction: A case report.
10.4097/kjae.2010.59.S.S146
- Author:
Sung Mee JUNG
1
;
Eun Su PARK
;
Young Su LIM
;
Chun Woo YANG
;
Keum Won KIM
;
Po Soon KANG
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Konyang University, Daejeon, Korea. kangpo1026@hanmail.net
- Publication Type:Case Report
- Keywords:
Cesarean section;
Hypertension;
Myocardial infarction;
Pulmonary edema
- MeSH:
Adult;
Anesthesia, Epidural;
Cesarean Section;
Echocardiography;
Female;
Humans;
Hypertension;
Inferior Wall Myocardial Infarction;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Pregnancy;
Pulmonary Edema;
Stents
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S146-S149
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of 29-year-old, morbidly obese, diabetic primigravida who had undergone previously primary percutaneous coronary intervention with stent placement for an inferior wall myocardial infarction at 10 weeks of gestation. She remained asymptomatic with medication during the remainder of her pregnancy, but preoperative echocardiography revealed left ventricular dilation and a restrictive diastolic dysfunction with a preserved ejection fraction (46%). She developed acute pulmonary edema associated with hypertension after an elective Cesarean delivery under continuous epidural anesthesia despite the meticulous restriction of fluid.
