Sequential combined spinal epidural anaesthesia for caesarean section in peripartum cardiomyopathy

Peripartum cardiomyopathy (PPCM) is defined as the onset of acute heart failure without demonstrable cause in the last trimester of pregnancy or within the first 6 months after delivery.We report a case of PPCM (LVEF<25%) requiring caesarean section who was successfully managed with sequential combined spinal epidural anaesthesia.