Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Table of Contents - Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : ZC84 - ZC87

Effect of Mobile Phone Usage on Nickel Ions Release and pH of Saliva in Patients Undergoing Fixed Orthodontic Treatment ZC84-ZC87

Lalita Girish Nanjannawar, Tejashree Suresh Girme, Jiwanasha Manish Agrawal, Manish Suresh Agrawal, Sangamesh Gurunath Fulari, Shraddha Subhash Shetti, Vishwal Ajith Kagi

Dr. Lalita Girish Nanjannawar,
Associate Professor, Department of Orthodontics and Dentofacial Orthopedics
Bharati Vidyapeeth Dental College and Hospital, Sangli-416414, Maharashtra, India.

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.