Successful anaesthetic management of a case of hypertrophic obstructive cardiomyopathy posted for elective caesarean section using epidural anaesthesia with 0.75% Ropivacaine

Abstract

Hypertrophic obstructive cardiomyopathy (HOCM) is a complex cardiovascular disorder with autosomal dominant inheritance and an incidence of 0.1-0.5% in pregnant females. Anaesthetic management of a pregnant female with HOCM posted for elective caesarean section is a challenge, as even minor hemodynamic insults may lead to life-threatening complications. We report successful management of one such patient using epidural anaesthesia with 0.75% Ropivacaine.

Keywords

• Epidural anaesthesia
• Hypertrophic obstructive cardiomyopathy
• Left ventricular outflow tract
• Lower segment caesarean section
• Ropivacaine