Shahneela Raza, Deem Muneer M Nadeem.
Hysterotomy Under Epidural Anesthesia In Patient With Peripartum Cardiomyopathy, Pregnancy Induced Hypertension and Acute Renal Failure.
J Surg Pak Jan ;23(1):41-3.

Peripartum cardiomyopathy is a type of left ventricular systolic heart dysfunction with an unknown cause. We report a case of a 32-year-old female patient of 50 kg, known case of hypertension since 1.5 year. An epidural, catheter was inserted at the level of L3 and L4 intervertebral spaces. After confirmation 7 ml of 0.5% bupivacaine was injected into epidural space with two top-up doses of 2 ml of 0.125% bupivacaine. Echocardiography demonstrated findings suggested of peripartum cardiomyopathy with mild tricuspid regurgitation and mild mitral regurgitation.

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