Open AccessCombined mitral and aortic stenosis in parturient: Anesthesia management for labor and delivery
Author(s) -
Manish Kela,
Madhvi Buddhi
Publication year - 2017
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.168169
Subject(s) - medicine , pregnancy , stenosis , obstetrics and gynaecology , cesarean delivery , disease , heart disease , obstetric anesthesia , anesthesia , cardiology , intensive care medicine , obstetrics , genetics , biology
Maternal heart disease complicates 0.2-3% of pregnancies. The optimal management of the pregnant patient with cardiac disease depends on the co-operative efforts of the obstetrician, the cardiologist and the anesthesiologist involved in peripartum care. A comprehensive understanding of physiology of pregnancy and pathophysiology of underlying cardiac disease is of primary importance in provision of obstetric analgesia or anesthesia for these high-risk groups of patients. We report a successful and uncomplicated use of epidural anesthesia for labor and delivery in patient with combined aortic and mitral stenosis.