Key result
A 25-year-old pregnant woman with severe mitral stenosis was successfully managed with combined epidural and general anesthesia for cesarean section despite severe postpartum hemorrhage.
Case Report (n=1)
No
This case report demonstrates the successful multidisciplinary management of a pregnant patient with severe mitral stenosis and pregnancy-induced hypertension who developed severe postpartum hemorrhage after cesarean section.
May support combined anesthesia for cesarean in severe mitral stenosis; leaves open generalizability without larger studies.
Pregnancy with heart disease still continues to be one of the leading causes of maternal mortality. The presence of heart disease amounts to additional burden on the cardio respiratory system of the mother. The critical period extends from the third trimester to the postpartum period. We herewith report a case of pregnancy with severe mitral stenosis (MS) and pregnancy induced hypertension (PIH) for cesarean section which was further complicated by postpartum hemorrhage (PPH). This case was managed by a combination of epidural and general anesthesia for cesarean section with a successful outcome.
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Santpur et al. (2013) conducted a case report in Pregnancy with severe mitral stenosis and postpartum hemorrhage (n=1). Combined epidural and general anesthesia was evaluated on Maternal and fetal outcome. A 25-year-old pregnant woman with severe mitral stenosis was successfully managed with combined epidural and general anesthesia for cesarean section despite severe postpartum hemorrhage.
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