BR, ShresthaC, Thapa2025-07-242025-07-242006https://hdl.handle.net/20.500.14572/599Shrestha BR 1, Thapa C 2 1Assistant Professor, 2Medical Officer, Department of Anaesthesiology, KMCTHPurpose: To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia. Clinical features: A parturient suffering from idiopathic peripartum cardiomyopathy (E.F. 18%) was brought for an emergency caesarean section. Epidural anaesthesia was performed and 2% Lignocaine with adrenaline total 13ml was injected into the epidural space. The patient’s haemodynamic status was monitored with NIBP, ECG, pulse oximetry. Patient’s perioperative course was uneventful. Conclusion: In patients suffering from peripartum cardiomyopathy, undergoing caesarean section epidural anaesthesia is an acceptable anaesthetic alternative. Key words: Cardiomyopathy, epidural, caesarean section, anaesthesiaen-USArticle