TUBE, Transesophageal Echocardiography, Transversus Abdominis Plane Block, and Team-Work: Peripartum Cardiomyopathy with Ejection Fraction 20% Managed “To the T”

Peripartum cardiomyopathy is a rare type of dilated cardiomyopathy with unknown exact pathophysiology. It is usually diagnosed toward the end of pregnancy or in the months of postpartum. Early recognition and treatment of heart failure can improve peripartum outcomes. The increasing usage of short- and long-term mechanical circulatory support devices has enabled us to navigate through the periods of pharmacologically unresponsive acute cardiogenic shock. Anesthesiologist forms an integral part of the multi-disciplinary team managing such patients. Anesthesiologist should be prepared to handle the acute crisis situation arising out of the severely reduced cardiac function and its complications during the perioperative period. Formulation of an individual case-based plan can aid in better outcomes for both mother and fetus.