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

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Case report
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : UD01 - UD03

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

Hemlata, Puneet Goyal, Satyendra Tewari, Arindam Chatterjee

1. Assistant Professor, Department of Anaesthesiology, King Georges Medical University, Lucknow, Uttar Pradesh, India. 2. Additional Professor, Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 3. Professor, Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. 4. Senior Resident, Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Correspondence Address :
Dr. Hemlata,
Type IV/3, Sanjay Gandhi Postgraduate Institute of Medical Sciences Campus, Lucknow-226014, Uttar Pradesh, India.
E-mail: hema2211@yahoo.co.in

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

How to cite this article :

Hemlata, Puneet Goyal, Satyendra Tewari, Arindam Chatterjee. ANAESTHETIC CONSIDERATIONS FOR BALLOON MITRAL VALVULOPLASTY IN PREGNANT PATIENT WITH SEVERE MITRAL STENOSIS: A CASE REPORT AND REVIEW OF LITERATURE. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2018 Jan 18 ]; 11:UD01-UD03. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=UD01-UD03&id=10579

DOI and Others

DOI: 10.7860/JCDR/2017/28379.10579

Date of Submission: Mar 15, 2017
Date of Peer Review: Jun 05, 2017
Date of Acceptance: Jun 23, 2017
Date of Publishing: Sep 01, 2017

FINANCIAl OR OTHER COMPETING INTERESTS: None.

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