Open AccessAnesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report
Author(s) -
Vinodhadevi Vijayakumar,
Thiruvarul Santhoshini,
Dhanabagyam Govindarajulu,
Shaik Mushahida
Publication year - 2019
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_781_18
Subject(s) - medicine , mitral valve replacement , coagulopathy , heart block , pregnancy , heart failure , heart disease , warfarin , anesthesia , surgery , mitral valve , cardiology , electrocardiography , atrial fibrillation , biology , genetics
A 24-year-old primigravida with a history of rheumatic heart disease and prosthetic mitral valve on oral anticoagulation who was lost follow-up during the third trimester presented with premature rupture of membranes. On evaluation, she had new-onset complete heart block. She was temporarily paced but developed cardiac failure. Anesthetic challenges and management of this parturient with post mitral valve replacement, complete heart block, and warfarin-induced coagulopathy for emergency cesarean delivery are discussed in this case report. Ours is the first case report of a pregnant patient with new onset of complete heart block during pregnancy several years after mitral valve replacement.