Why the study?
Limited data are available to guide the anesthetic management of pregnant patients with severe pulmonary stenosis.
This case report demonstrates the successful anesthetic management of a pregnant patient with severe pulmonary re-stenosis undergoing caesarean delivery.
Supports individualized anesthetic planning for severe PS cesarean; leaves open prospective data on optimal strategies.
Isolated Pulmonary stenosis (PS) accounts for 10–12% of adult congenital heart diseases. The effect of PS on pregnancy depends on the severity of the stenosis. There are limited data available in the literature to guide the anesthetic management of pregnant patients with severe PS. We report the successful anesthetic management of a pregnant woman presenting with severe pulmonary re-stenosis 10 years after open pulmonary valvotomy, posted for caesarean section.
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Nimmagadda et al. (2024) studied this question.
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