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Case Reports
. 2017 Sep;11(9):UD01-UD03.
doi: 10.7860/JCDR/2017/28379.10579. Epub 2017 Sep 1.

Anaesthetic Considerations for Balloon Mitral Valvuloplasty in Pregnant Patient with Severe Mitral Stenosis: A Case Report and Review of Literature

Hemlata  1 , Puneet Goyal  2 , Satyendra Tewari  3 , Arindam Chatterjee  4
Affiliations
Case Reports

Anaesthetic Considerations for Balloon Mitral Valvuloplasty in Pregnant Patient with Severe Mitral Stenosis: A Case Report and Review of Literature

Hemlata et al. J Clin Diagn Res. 2017 Sep.

Abstract

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.

Keywords: Monitored anaesthesia care; Percutaneous balloon mitral valvuloplasty; Pregnancy; Severe mitral stenosis.

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References

    1. Bhatla N, Lal S, Behera G, Kriplani A, Mittal S, Agarwal N, et al. Cardiac disease in pregnancy. Int J Gynaecol Obstet. 2003;82:153–59. - PubMed
    1. Nercolini DC, da Rocha Loures Bueno R, Eduardo Guérios E, Tarastchuk JC, Pacheco AL, Piá de Andrade PM, et al. Percutaneous mitral balloon valvuloplasty in pregnant women with mitral stenosis. Catheter Cardiovasc Interv. 2002;57:318–22. - PubMed
    1. Sutton SW, Duncan MA, Chase VA, Marce RJ, Meyers TP, Wood RE. Cardiopulmonary bypass and mitral valve replacement during pregnancy. Perfusion. 2005;20:359–68. - PubMed
    1. Cheng TO. Percutaneous inoue balloon valvuloplasty is the procedure of choice for symptomatic mitral stenosis in pregnant women. Catheter Cardiovasc Interv. 2000;50:418. - PubMed
    1. Fawzy ME, Kinsara AJ, Stefadouros M, Hegazy H, Kattan H, Chaudhary A, et al. Long-term outcome of mitral balloon valvotomy in pregnant women. J Heart Valve Dis. 2001;10:153–57. - PubMed

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