Anesthesia for cesarean section in patients with severe mitral stenosis with congestive heart failure

Abstract

Providing anesthesia for cesarean section to a patient with mitral stenosis (MS) with congestive heart failure can be a big challenge.  The authors present a report of a known patient of hypothyroidism, who presented with cardiac failure in 9th month of gestation with severe MS, significant resting pulmonary hypertension and pericardial effusion. She was successfully managed with epidural anesthesia and intrathecal fentanyl. A skillful multidisciplinary approach in the diagnosis and management can reduce the morbidity and mortality in patients of this setting.

Key words: Mitral stenosis; Cesarean section; Pulmonary hypertension; Cardiac failure; Epidural anesthesia

Citation: Gupta M, Gurjar SS, Suthar OP, Karnawat R. Anesthesia for cesarean section in patients with severe mitral stenosis with congestive heart failure. Anaesth Pain & Intensive Care 2016;20(3):330-333-

Received: 3 March 2016; Reviewed: 18 March & 11 May 2016; Corrected: 16 May 2016; Accepted: 10 September 2016