Elective Lower Segment Cesarean Section in Patients with Severe Mitral Stenosis under Sole Epidural Anesthesia: Initial Experiences Case Report

Authors

  • Amit Shrestha Department of Anesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Samana Oli Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
  • Dilip Baral Department of Anesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Bashu Dev Parajuli Department of Anesthesiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal

Keywords:

Cesarean section, mitral stenosis, rheumatic heart disease, sole epidural anesthesia

Abstract

Management of a pregnant females with rheumatic heart disease is always challenging due to pregnancy related hemodynamic changes, which is further complicated by the pre-existing heart disease. We, here, report unique successful management of two pregnant women with multi-valvular heart disease, amongst severe mitral stenosis, who underwent elective lower segment cesarean section, under sole epidural anesthesia on contrary to general or spinal anesthesia. In woman with severe stenotic valvular heart disease especially aortic and mitral stenosis, it is always challenging to carry out the pregnancy to term, hence planned cesarean delivery at 36-37 weeks of gestation is always preferred mode of delivery for better maternal and fetal outcomes.

Downloads

Download data is not yet available.
Abstract
14
PDF
6

Downloads

Published

2022-08-31

How to Cite

Shrestha, A., Oli, S., Baral, D., & Parajuli, B. D. (2022). Elective Lower Segment Cesarean Section in Patients with Severe Mitral Stenosis under Sole Epidural Anesthesia: Initial Experiences Case Report. Journal of Institute of Medicine Nepal, 44(2), 69–72. Retrieved from https://www.nepjol.info/index.php/JIOM/article/view/79324

Issue

Vol. 44 No. 2 (2022)

Section

Case Reports

License

Copyright (c) 2022 The Author(s)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.