Key result
Oral diuretics successfully treated severe pulmonary hypertension with right ventricular pressure overload in a pregnant woman with moderate mitral stenosis, rapidly normalising pulmonary pressure.
Case Report (n=1)
Oral diuretics can rapidly normalize pulmonary pressure in pregnant patients with moderate mitral stenosis who develop severe pulmonary hypertension.
A case of asymptomatic, newly diagnosed, moderate mitral stenosis in a 27 year old pregnant woman is described. A conservative management strategy with regular cardiac assessment was adopted and the patient remained well. Routine transthoracic echocardiography at 36 weeks' gestation showed the development of severe pulmonary hypertension with right ventricular pressure overload, which was successfully treated with oral diuretics resulting in rapid normalisation of pulmonary pressure. Mitral stenosis in pregnancy and its management in pregnancy are briefly discussed.
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Anjana Siva (2004) conducted a case report in Moderate mitral stenosis in pregnancy (n=1). Oral diuretics was evaluated on Normalisation of pulmonary pressure. Oral diuretics successfully treated severe pulmonary hypertension with right ventricular pressure overload in a pregnant woman with moderate mitral stenosis, rapidly normalising pulmonary pressure.
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