Anesthesia Management for Cesarean Delivery in a Pregnant with Severe Mitral Stenosis and Pulmonary Hypertension

Gulay Erdogan Kayhan, Osman Kacmaz, Nurcin Gulhas and Mahmut Durmus

Department of Anesthesiology and Reanimation, Inonu University, Turkey

^*Correspondance to: Gulay Erdogan Kayhan 

 PDF  Full Text Case Report | Open Access

Abstract:

Pregnant women with heart disease constitute a unique problem for obstetrician and obstetric anesthesiologists. Mitral stenosis (MS) is the most common, clinically important valve lesion and the first symptoms occur during pregnancy in 25% of the patients. In this case report, we presented the anesthesia management of a 31-year-old woman in the 22 weeks of pregnancy with severe MS and pulmonary hypertension, which was decided to termination of pregnancy with cesarean delivery due to high risk of maternal mortality. CSE anesthesia, which allowed administration of intrathecal opioid following epidural local anesthetic, with invasive monitoring provided successful and safe anesthesia. After successful mitral valve replacement operation on the postoperative 15^th day, the patient was discharged.

Keywords:

Pregnancy; Heart disease; Regional anesthesia; Cesarean delivery

Cite the Article:

Kayhan GE, Kacmaz O, Gulhas N, Durmus M. Anesthesia Management for Cesarean Delivery in a Pregnant with Severe Mitral Stenosis and Pulmonary Hypertension. Ann Clin Case Rep. 2016; 1: 1137.