확장성 심근병증 산모의 제왕절개술을 위한 마취 경험

Anesthesia for Cesarean Section in a Parturient with Dilated Cardiomyopathy -A Case Report-

  • 김세연 (영남대학교 의과대학 마취통증의학교실) ;
  • 허수정 (영남대학교 의과대학 마취통증의학교실) ;
  • 송선옥 (영남대학교 의과대학 마취통증의학교실)
  • Kim, Sae-Yeon (Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungam University) ;
  • Heo, Su-Jeong (Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungam University) ;
  • Song, Sun-Ok (Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungam University)
  • 발행 : 2010.06.30

초록

Idiopathic peripartum cardiomyopathy is an uncommon malady disease. Making the diagnosis is often difficult and it is always necessary to exclude other prior heart disease and other causes of left ventricular dysfunction in pregnant women. Heart failure in these women ensues when the cardiovascular demands of normal pregnancy are further amplified when the common complications of pregnancy complications superimposed upon these underlying conditions that cause compensated ventricular hypertrophy. This may be aggravated by making a late diagnosis and providing inappropriate treatment. We experienced a 38-year-primigravida who has diagnosed with idiopathic peripartum cardiomyopathy and underwent elective cesarean section with general anesthesia.

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