Key result
Acute postpartum pulmonary edema after emergency cesarean unmasks severe rheumatic mitral stenosis.
Why the study?
Acute dyspnea with pulmonary oedema in the postpartum period is an uncommon but life-threatening event with multiple potential contributing factors including underlying cardiac disease.
Case Report (n=1)
No
Postpartum acute pulmonary edema can be the first clinical presentation of previously subclinical severe rheumatic mitral stenosis.
Postpartum pulmonary edema may signal occult rheumatic mitral stenosis; this case leaves open the need for larger confirmatory studies.
Acute dyspnea with pulmonary oedema in postpartum is uncommon but life-threatening event. Contributing factors for pulmonary oedema include, administration of tocolytics, underlying cardiac disease, iatrogenic fluid overload and preeclampsia acounting 0.08% of pregnancies. Pulmonary embolism, amniotic fluid embolism, pneumonia, aspiration and pulmonary oedema are some of the potentially devastating conditions that should be considered by the attending physician. Here, we report a case of postpartum acute pulmonary oedema referred to causality after an emergency caesarean section in a private hospital. No matter what the underlying pathology, prompt administration and appropriate resuscitation is always the first priority. Only after the patient has been stabilized attention must be turned to diagnosis and specific treatment. A diagnosis of severe Mitral Stenosis, probably of rheumatic origin was made after stabilizing the patient.
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Radhakrishnan Jayasree Padmaja (2015) conducted a case report in Postpartum acute pulmonary oedema and severe Mitral Stenosis (n=1). A postpartum patient presenting with life-threatening acute pulmonary oedema after an emergency caesarean section was stabilized and diagnosed with severe mitral stenosis of rheumatic origin.
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