Open AccessEmergency mitral valve replacement and cesarean section in parturients: Two case reports
Author(s) -
P S Nagaraja,
Naveen G Singh,
Gaurav Pandey,
Pranav J Adoni,
C G Prabhushankar,
Vijayakumar M Heggeri,
Ravikumar Kalyani Nagashetty,
TH Krishnaprasad
Publication year - 2016
Publication title -
journal of obstetric anaesthesia and critical care/journal of obstetric anaesthesia and critial care
Language(s) - English
Resource type - Journals
eISSN - 2249-9539
pISSN - 2249-4472
DOI - 10.4103/2249-4472.181075
Subject(s) - medicine , cardiopulmonary bypass , mitral valve replacement , mitral regurgitation , stenosis , cardiology , commissurotomy , extracorporeal circulation , surgery , mitral valve , anesthesia
Cardiac surgery during pregnancy using cardiopulmonary bypass has a maternal mortality rate (MMR) of about 3-15%. Cardiopulmonary bypass, in addition, alters placental perfusion, which can increase infant mortality. Here, we report two cases of parturients with severe mitral stenosis, who developed acute mitral regurgitation (MR) after percutaneous transluminal mitral commissurotomy (PTMC) due to anterior mitral leaflet tear. They were posted for emergency mitral valve replacement (MVR) followed by cesarean section. Altering the routine cardiopulmonary bypass and anesthesia protocol resulted in a favorable maternal and fetal outcome