Department of Anesthesiology and Pain Medicine, School of Medicine, Konyang University, Daejeon, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S146-9. doi: 10.4097/kjae.2010.59.S.S146. Epub 2010 Dec 31.
We report a case of 29-year-old, morbidly obese, diabetic primigravida who had undergone previously primary percutaneous coronary intervention with stent placement for an inferior wall myocardial infarction at 10 weeks of gestation. She remained asymptomatic with medication during the remainder of her pregnancy, but preoperative echocardiography revealed left ventricular dilation and a restrictive diastolic dysfunction with a preserved ejection fraction (46%). She developed acute pulmonary edema associated with hypertension after an elective Cesarean delivery under continuous epidural anesthesia despite the meticulous restriction of fluid.
我们报告了一例 29 岁的病态肥胖、糖尿病初产妇的病例，她在妊娠 10 周时因下壁心肌梗死接受了经皮冠状动脉介入治疗和支架置入术。在妊娠的剩余时间里，她一直无症状，并且服用药物，但术前超声心动图显示左心室扩张和限制型舒张功能障碍，射血分数正常（46%）。尽管严格限制液体摄入，但她在连续硬膜外麻醉下择期行剖宫产时仍出现高血压并发急性肺水肿。
