Korean J Anesthesiol.  2010 Dec;59(Suppl):S146-S149. 10.4097/kjae.2010.59.S.S146.

Acute hypertensive pulmonary edema after Cesarean section in a patient with an antepartum myocardial infarction: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, School of Medicine, Konyang University, Daejeon, Korea. kangpo1026@hanmail.net
  • 2Department of Radiology, School of Medicine, Konyang University, Daejeon, Korea.

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.

Keyword

Cesarean section; Hypertension; Myocardial infarction; Pulmonary edema

MeSH Terms

Adult
Anesthesia, Epidural
Cesarean Section
Echocardiography
Female
Humans
Hypertension
Inferior Wall Myocardial Infarction
Myocardial Infarction
Percutaneous Coronary Intervention
Pregnancy
Pulmonary Edema
Stents
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