Transesophageal echocardiography monitoring in the delivery of a preeclamptic parturient with severe left ventricular noncompaction

Ashford, Eric; Klimkina, Oksana; Hassan, Zaki-Udin; Colclough, George; Fragneto, Regina

doi:10.1016/j.jclinane.2014.03.007

Cited by 5 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our patient, a slow titrated epidural was used rather than combined or spinal anesthesia during caesarean section to minimise any hemodynamic changes. General anesthesia is used in cases where there is a severe compromise of left ventricular function with or without pulmonary hypertension as this allows an easier management of afterload reduction and cardiac output [9].…”

Section: Discussionmentioning

confidence: 99%

Irreversible Acquired Noncompaction Cardiomyopathy in a Parturient with Corrected Atrial Septal Defect: A Case Report and Clinical Implications

Aamri

Derzi

Moore

et al. 2020

Case Reports in Anesthesiology

View full text Add to dashboard Cite

Left ventricular noncompaction (LVNC) is described as a cardiomyopathy with an increase in left ventricle trabeculations and recesses. We report a rare case of persistent pregnancy-acquired LVNC cardiomyopathy and review the anesthetic peripartum management strategies. A 33-year-old parturient was followed closely by the high-risk obstetric service for her second pregnancy. She had an unresolved LVNC cardiomyopathy that was diagnosed during her first pregnancy for which she had a caesarean section. Her symptoms included occasional palpitations and dyspnea. She was started on metoprolol and enoxaparin. A successful caesarean section was performed at 37 weeks gestation under regional anesthesia. Echocardiograms prior to and during the second pregnancy demonstrated persistence of the LV hypertrabeculations, LV systolic dysfunction, and a left ventricular ejection fraction (LVEF) of 35%. Pregnancy-induced LV hypertrabeculations occur in a significant proportion of women, but most cases spontaneously resolve completely. Favorable maternal and fetal outcomes require multidisciplinary care and careful selection of the anesthetic technique and drugs that maintain stable hemodynamics.

show abstract

Section: Discussionmentioning

confidence: 99%

Irreversible Acquired Noncompaction Cardiomyopathy in a Parturient with Corrected Atrial Septal Defect: A Case Report and Clinical Implications

Aamri

Derzi

Moore

et al. 2020

Case Reports in Anesthesiology

View full text Add to dashboard Cite

show abstract

“…We planned general anesthesia with real time TEE monitoring to access intraoperative cardiac function. We chose TEE, without placement of a pulmonary artery catheter (PAC), because we were concerned with the increased risk of life threatening complications associated with the use of PACs, such as dysrhythmias [ 8 ]. No premedication was administered to the patient.…”

Section: Case Reportmentioning

confidence: 99%

Anesthetic experience of patient with isolated left ventricular noncompaction: a case report

Kim

Lee

et al. 2016

Korean J Anesthesiol

View full text Add to dashboard Cite

Isolated left ventricular noncompaction (LVNC) is a rare primary genetic cardiomyopathy characterized by prominent trabeculation of the left ventricular wall and intertrabecular recesses. Perioperative management of the patient with LVNC might be challenging due to the clinical symptoms of heart failure, systemic thromboembolic events, and fatal left ventricular arrhythmias. We conducted real time intraoperative transesophageal echocardiography in a patient with LVNC undergoing general anesthesia for ovarian cystectomy.

show abstract

Left Ventricular Noncompaction

Sarma¹

2019

Cardiac Problems in Pregnancy, 4th Edition

View full text Add to dashboard Cite

Transesophageal echocardiography monitoring in the delivery of a preeclamptic parturient with severe left ventricular noncompaction

Cited by 5 publications

References 17 publications

Irreversible Acquired Noncompaction Cardiomyopathy in a Parturient with Corrected Atrial Septal Defect: A Case Report and Clinical Implications

Irreversible Acquired Noncompaction Cardiomyopathy in a Parturient with Corrected Atrial Septal Defect: A Case Report and Clinical Implications

Anesthetic experience of patient with isolated left ventricular noncompaction: a case report

Left Ventricular Noncompaction

Contact Info

Product

Resources

About