Abstract
Cardiac diseases in pregnancy pose a multitude of challenges to both anesthesiologists and obstetricians. Peripartum cardiomyopathy is one of the rare causes of dilated cardiomyopathy in parturients with a great diagnostic difï¬culty. High degreeofsuspicionalongwithgoodclinicalexperienceisneededforitsdiagnosis.Unfortunately,mortalityfromthisranges from 35% to 50%. We report a case of 21-year-old female parturient presenting at 37 weeks of gestation for emergency cesarean delivery with undiagnosed peripartum cardiomyopathy. She developed cardiac arrest soon after giving spinal anesthesia.ShewassuccessfullyresuscitatedandshiftedtoICUforfurthermanagement.Bedsideechocardiographywas conducted, which showed dilated cardiomyopathy with an ejection fraction of 32%.