Key result
Percutaneous BMV under monitored anesthesia care successfully treats severe mitral stenosis in a pregnant patient.
Why the study?
Mitral stenosis remains a common rheumatic valvular lesion in pregnant patients, and anaesthetic management during balloon mitral valvuloplasty is rarely reported.
Case Report (n=1)
Percutaneous balloon mitral valvuloplasty under monitored anaesthesia care can be successfully performed in pregnant patients with severe mitral stenosis and pulmonary hypertension.
Supports feasibility of percutaneous mitral valvuloplasty under monitored anaesthesia care in pregnancy; leaves open need for larger studies before wider adoption.
Even though, the incidence of Mitral Stenosis (MS) has reduced grossly, it still remains a health problem in developing countries and is the most common rheumatic valvular lesion encountered in pregnant patients. The already compromised cardiac status of a pregnant female deteriorates further by the presence of MS. So, pregnancy is a common situation during which untreated and frequently poorly tolerated MS are first diagnosed. Percutaneous Balloon Mitral Valvuloplasty (BMV) may be life saving in such a setting and a multidisciplinary approach in the management reduces the mortality and morbidity during the procedure. Anaesthetic management of such a procedure has hardly ever been reported. We report a case of a 23-year-old woman presenting at 28 weeks gestation with severe MS and severe pulmonary hypertension (52 mmHg) who underwent successful percutaneous BMV under monitored anaesthesia Care. The anaesthetic considerations in such situations are being discussed.
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Hemlata et al. (2017) conducted a case report in Severe Mitral Stenosis in Pregnancy (n=1). Percutaneous Balloon Mitral Valvuloplasty (BMV) under monitored anaesthesia care was evaluated on Procedural success. Percutaneous balloon mitral valvuloplasty under monitored anaesthesia care was successfully performed in a 23-year-old pregnant woman with severe mitral stenosis and pulmonary hypertension.
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