Key result
Anesthetic management of an emergency cesarean section in a pregnant patient with mitral stenosis and a respiratory tract infection requires careful consideration of neuraxial versus general anesthesia.
Case Report (n=1)
This case report illustrates the complex anesthetic considerations required for pregnant patients with mitral stenosis and concurrent respiratory infections undergoing emergency cesarean section.
May guide individualized planning in rare high-risk obstetric cases; hypothesis-generating and should not change practice.
Mitral stenosis in pregnancy is poorly tolerated because of the pregnancy induced physiological changes in the cardiovascular system. Our patient had presented with cardiac failure in 5 th month of gestation due to valve area of 0.8 cm 2 . She underwent commissurotomy and was asymptomatic with valve area of 1.6 cm 2 until term when she developed lower respiratory tract infection. Anesthetic management of emergency caesarean section in this patient is discussed where neuraxial block is not well-tolerated, and general anesthesia is associated with increased morbidity in the presence of reactive airways.
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Nataraj et al. (2014) conducted a case report in Mitral stenosis, pregnancy, respiratory tract infection (n=1). Anesthetic management was evaluated. Anesthetic management of an emergency cesarean section in a pregnant patient with mitral stenosis and a respiratory tract infection requires careful consideration of neuraxial versus general anesthesia.
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