Peripartum cardiomyopathy (PPCM) is a rare, dilated form ofcardiomyopathyof unknown cause that arises duringperipartumperiod, i.e., from 3rd trimester of pregnancy until 5 months after delivery. It occurs in women with no history of heart disease and can result in severe ventricular dysfunction. Anesthetic management for caesarean section (CS) in such patients remains a challenge. We report a case of A 35 year old second gravida parturient suffering from PPCM (ejection fraction 40%) who came to emergency with labor pain. She was taken for emergency CS for fetal distress andwas successfully managed with low dose spinal anesthesia using 7.5 mg hyperbaric bupivacaine with 25 mcg fentanyl intrathecally. Her perioperative course was uneventful. We conclude that low dose spinal anesthesia is a quick, safe and reliable anestheticoption for emergency CS in a parturient having PPCM.
