Obstetric hemorrhage in a case of hypertrophic obstructive cardiomyopathy with automatic implantable cardioverter defibrillator: Anaesthesia and intensive care management

Sandeep Kumar Mishra; Ravindra R Bhat; Jayaram Kavitha; Pankaj Kundra; Satyen Parida

doi:10.4103/0259-1162.164737

Obstetric hemorrhage in a case of hypertrophic obstructive cardiomyopathy with automatic implantable cardioverter defibrillator: Anaesthesia and intensive care management

Anesth Essays Res. 2016 Jan-Apr;10(1):111-3. doi: 10.4103/0259-1162.164737.

Authors

Sandeep Kumar Mishra¹, Ravindra R Bhat², Jayaram Kavitha¹, Pankaj Kundra¹, Satyen Parida¹

Affiliations

¹ Department of Anaesthesiology and Critical Care, JIPMER, Puducherry, India.
² Department of Anaesthesiology and Critical Care, IGMCRI, Puducherry, India.

Abstract

The physiological changes occurring during pregnancy and labor may reveal or exacerbate the symptoms of hypertrophic obstructive cardiomyopathy (HOCM). The addition of obstetric hemorrhage to this presents a unique challenge to the anesthesiologists and intensivists managing these patients in the operation theatres and the Intensive Care Units. Here we present a case of HOCM with automatic implantable cardioverter defibrillator in situ and postpartum hemorrhagic shock.

Keywords: Anesthesia; automatic implantable cardioverter defibrillator; hypertrophic obstructive cardiomyopathy; obstetric hemorrhage.

Publication types

Case Reports