Article

[Anesthetic management for Cesarean section in a patient with left ventricular noncompaction].

Department of Anesthesia & Perioperative Medicine, Kobe University Graduate School of Medicine, Kobe 650-0017.
Masui. The Japanese journal of anesthesiology 06/2005; 54(5):522-4. pp.522-4
Source: PubMed

ABSTRACT Left ventricular noncompaction (LVNC) is a rare disease characterized by heart failure, arrhythmia, and embolic events. We report anesthetic management of a pregnant woman with LVNC. At 24 weeks gestation of the first pregnancy, the patient was scheduled for Cesarean section. Preoperatively the patient had symptomatic heart failure, and was anesthetized with propofol and fentanyl aiming at stable intraoperative hemodynamics. About 2 years later, the patient also underwent cesarean section under spinal anesthesia at 34 weeks gestation of the second pregnancy, because her cardiac function was almost normal and she was not receiving anticoagulant therapy. Both perioperative courses were uneventful. Careful preoperative assessment and close anesthetic planning are necessary.

0 0
 · 
0 Bookmarks
 · 
18 Views
  • Source
    Article: Left ventricular noncompaction.
    Radha J Sarma, Amar Chana, Uri Elkayam
    [show abstract] [hide abstract]
    ABSTRACT: According to the World Health Organization classification of cardiomyopathies, left ventricular noncompaction is still an unclassified cardiomyopathy. In 2006, the American Heart Association classified this entity as a primary cardiomyopathy of genetic origin. In 2008, the European Society of Cardiology updated the classification scheme similar to the World Health Organization classification. At present, there is no consensus on the diagnostic criteria, and diagnosis is based on the morphologic features identified by cardiac imaging studies or at autopsy. Due to lack of standardization of the diagnostic criteria and little awareness of this condition among clinicians, the true prevalence of this disease is not clear. There is no specific therapy for this condition. However, it seems prognosis is much better than initially reported. The current status of diagnosis, prognosis, and management of isolated noncompaction in adults is discussed in this review.
    Progress in cardiovascular diseases 52(4):264-73. · 4.25 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

2 years
 
24 weeks gestation
 
34 weeks gestation
 
anesthetic planning
 
heart failure
 
Left ventricular noncompaction
 
perioperative courses
 
pregnant woman
 
second pregnancy
 
spinal anesthesia
 
stable intraoperative hemodynamics
 

Takanobu Uesugi