Pulmonary oedema in two parturients with hypertrophic obstructive cardiomyopathy (HOCM)

Two patients with hypertrophic obstructive cardiomyopathy (HOCM) presented for delivery. The first had a repeat Caesarean section with general anaesthesia and the second gave birth vaginally with epidural analgesia. Both patients developed pulmonary oedema in the peripartum period. These cases highl...

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Bibliographic Details
Published in:	Canadian journal of anesthesia Vol. 37; no. 4 Pt 1; pp. 469 - 473
Main Authors:	Tessler, M J, Hudson, R, Naugler-Colville, M, Biehl, D R
Format:	Journal Article
Language:	English
Published:	United States 01-05-1990
Subjects:	Adult Anesthesia, Epidural Anesthesia, General Anesthesia, Inhalation Anesthesia, Intravenous Anesthesia, Obstetrical Cardiomyopathy, Hypertrophic - complications Cesarean Section Female Humans Pregnancy Pregnancy Complications, Cardiovascular Puerperal Disorders - etiology Pulmonary Edema - etiology
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Summary:	Two patients with hypertrophic obstructive cardiomyopathy (HOCM) presented for delivery. The first had a repeat Caesarean section with general anaesthesia and the second gave birth vaginally with epidural analgesia. Both patients developed pulmonary oedema in the peripartum period. These cases highlight the delicate fluid requirements of the pregnant patient with HOCM. The fluid management of the parturient is discussed with particular emphasis on the pathophysiology of HOCM. The indications for invasive monitoring are presented.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0832-610X 1496-8975
DOI:	10.1007/BF03005629