2017 Volume 21 Issue 1 Pages 89-93
A 26 year-old-woman at 29 weeks gestation was referred to our hospital urgently for the management of pregnancy complicated by acute decompensated heart failure and ventricular tachycardia. Dilated cardiomyopathy was suspected by her medical history and echocardiographic findings. After consulting with obstetrician, cardiologist and anesthesiologist, we prioritized treatment of heart failure. Five hours after the treatment, sustained ventricular tachycardia occurred, although heart failure was improved. Because fetal bradycardia was also recognized, we underwent emergency caesarean section under general anesthesia. We carried out the delivery of the fetus, while performing electrical defibrillation. Our perioperative management was successful without any complication in the mother or the child. After that, we performed myocardial biopsy and confirmed the diagnosis of dilated cardiomyopathy.
