Severe preeclampsia complicating mitral valve stenosis

We present a report of a parturient with severe mitral valve stenosis diagnosed during a previous pregnancy who developed severe preeclampsia. Labor and subsequent abdominal delivery were managed with epidural analgesia and anesthesia. The clinical management was guided by invasive hemodynamic monit...

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Bibliographic Details
Published inRegional anesthesia and pain medicine Vol. 23; no. 2; pp. 204 - 209
Main Authors Afrangui, B, Malinow, A M
Format Journal Article
LanguageEnglish
Published England 01.03.1998
Subjects
Adult
Analgesia, Epidural
Analgesia, Obstetrical
Anesthesia, Obstetrical
Female
Humans
Mitral Valve Stenosis - complications
Pre-Eclampsia - complications
Pregnancy
Pregnancy Complications, Cardiovascular
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Summary:We present a report of a parturient with severe mitral valve stenosis diagnosed during a previous pregnancy who developed severe preeclampsia. Labor and subsequent abdominal delivery were managed with epidural analgesia and anesthesia. The clinical management was guided by invasive hemodynamic monitoring, including a flow-directed pulmonary artery catheter. Peripartum maternal and neonatal outcomes were satisfactory. Postpartum complications included pulmonary edema as well as peripartum heart failure and pulmonary thromboembolism 4 weeks postpartum.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1098-7339
DOI:10.1097/00115550-199823020-00016