Anaesthetic management of a parturient with left ventricular noncompaction cardiomyopathy

Nelson, Stephen C.; Lamb, S.C.; Montague, Imogen; Drake, E.J.

doi:10.1016/j.ijoa.2020.02.003

Cited by 1 publication

(1 citation statement)

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“…While in certain circumstances cesarean section may be required due to cardiac considerations, this case supports the safety of induction of labor with unassisted vaginal delivery for women with maintained cardiac function with cesarean delivery reserved for normal obstetrical indications. For those undergoing labor, continuous cardiac monitoring should be implemented with consideration for early neuraxial anesthesia to mitigate arrhythmia risk by selectively blocking sympathetic input [9]. This case is of particular importance due to the implicated genetic mutation.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy Complicated by Non-Compaction Cardiomyopathy in the Mother and Fetus: A Case Report of Both Maternal Management and Prenatal Diagnosis

Eileen¹,

Leah²,

Suzanne³

et al. 2023

Obstet Gynecol Cases Rev

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Left ventricular noncompaction cardiomyopathy (LVNC) is a rare form of familial cardiomyopathy attributed to failure of ventricular compaction during embryogenesis. Scant data exists regarding the management approach to pregnant patients with this condition. Additionally, few cases are reported in which both the mother and fetus are simultaneously affected by this condition during the antepartum period. This case is unique in that the patient carried a known genetic and echocardiographic diagnosis of LVNC, prior children born with confirmed LVNC by genetic and echocardiographic findings, and the current pregnancy affected by a perinatal diagnosis of LVNC via sonographic findings.

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Section: Discussionmentioning

confidence: 99%