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. 2024 Nov;73(11):743-745.
doi: 10.1007/s00101-024-01469-3. Epub 2024 Oct 10.

Anesthesia management of a patient with severe post-rheumatic mitral stenosis undergoing cesarean section

Stanislaw Vander Zwaag  1 , Johan Winata  1 , Cahit Birdir  2 , Barbara Seipolt  3 , Stephan Haussig  4 , Jens Fassl  5
Affiliations

Anesthesia management of a patient with severe post-rheumatic mitral stenosis undergoing cesarean section

Stanislaw Vander Zwaag et al. Anaesthesiologie. 2024 Nov.
No abstract available

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Conflict of interest statement

S.V. Zwaag, J. Winata, C. Birdir, B. Seipolt, S. Haussig and J. Fassl declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
a Parasternal long-axis view of the mitral valve stenosis with transthoracic echocardiography. b Pressure measurement of the mitral valve stenosis with continuous wave (CW) doppler with transthoracic echocardiography
Fig. 2
Fig. 2
a Time course of the mean arterial pressure (MAP) in mmHg, green above the lower limit of 65 mmHg, yellow line close to the lower limit of the MAP or higher than the upper limit of the MAP, red above the upper limit of the MAP. b Time course of the cardiac index (CI) in l · min-1 · m-2. Green line above the lower limit of 2 l · min-1 · m-2. The yellow line indicates that the CI is under lower limit of 2 l · min-1 · m-2. c Time course of the systemic vascular resistance (SVR) in dyne-s/cm2. Green coded normal SVR between 1000 and 1500 dyne-s/cm2. The yellow and the red lines indicating a higher or very high SVR above 1500 dyne-s/cm2. d Time course of the stroke volume (SV) in ml. Green normal SV between 45 and 75 ml. The yellow line indicates an high normal or low normal SV. Blue dashed lines indicate the relevant events: 1 – induction of general anesthesia and surgical incision, 2 – administration of 100 µg carbetocin, 3 – end of surgery
See this image and copyright information in PMC

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