Why the study?
The hemodynamic consequences and anesthetic implications of Wolff-Parkinson-White syndrome with coexisting mitral stenosis in a parturient had not been reported.
Demonstrates the successful use of a modified combined spinal-epidural technique for a complex parturient with both Wolff-Parkinson-White syndrome and severe mitral stenosis.
May support modified sequential CSE for emergency cesarean in WPW with severe mitral stenosis; hypothesis-generating and requires prospective validation.
The occurrence of Wolff-Parkinson-White syndrome with rheumatic mitral stenosis is not only an uncommon entity, but also a complex scenario. Although anesthetic concerns in a parturient with Wolff-Parkinson-White syndrome have been addressed previously, to the best of our knowledge, hemodynamic consequences and anesthetic implications of Wolff-Parkinson-White syndrome with coexisting mitral stenosis have not been reported so far. We describe the successful use of a modified low-dose, low-concentration, sequential combined spinal-epidural technique for emergency cesarean section in a parturient with Wolff-Parkinson-White syndrome and severe mitral stenosis.
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Jain et al. (2019) studied this question.
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