Anesthetic Management of a Parturient with Dilated Cardiomyopathy Posted for Emergency Caeserean Section Using Epidural Volume Extension Technique: A Case Report

Peripartum cardiomyopathy (PPCM) is a rare condition that affects women in late pregnancy and in post-partum period. It is characterized ventricular dilatation and impaired contractility. This leads to systolic dysfunction with decreased ejection fraction and progressive congestive cardiac failure. The major anesthetic concern in managing these patients is to optimize cardiac output and maintain myocardial perfusion with stable intraoperative hemodynamics. We present a case of parturient that was posted for emergency caesarean section and managed successfully by the Epidural Volume Extension (EVE) Saline technique.