Volume 27, Issue 134, April 2023

Pregnancy and mitral stenosis, the anaesthetic management: A case report

Haneesha Movva^1♦, Karuna Taksande²

¹Resident, Department of Anaesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi, Wardha, Maharastra, India
²Professor, Department of Anaesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharastra, India

^♦Corresponding author
Resident, Department of Anaesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi, Wardha, Maharastra, India

ABSTRACT

Background: The most prevalent valvular heart condition linked to pregnancy is mitral stenosis. Pregnancy-related increases in cardiac output lead to a worsening of the patient's condition and an increase in New York Heart Association class (NYHA). Purpose & Methods: Regional anaesthesia has recently grown in acceptance as a secure alternative for caesarean delivery in all expectant mothers, even those with heart condition. Results: General anaesthesia is linked to an increase in pulmonary pressure in regard to laryngoscope and endotracheal intubation in addition to anesthesia-induced cardiac depression. The neuraxial blockade may reduce systemic vascular resistance and cardiac output. Conclusion: The outstanding anaesthetic care provided to a pregnant woman with rheumatic heart disease, multivalvular lesions, during epidural anaesthesia is described in this article, along with the positive outcomes for both the mother and the baby.

Keywords: Caesearean section, epidural anaesthesia, mitral stenosis, Bmv, NYHA

Medical Science, 2023, 27, e179ms2840

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DOI: https://doi.org/10.54905/disssi/v27i134/e179ms2840

Published: 03 April 2023