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Journal of Obstrectic Anaesthesia and Critical Care
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CASE REPORT
Year : 2014  |  Volume : 4  |  Issue : 2  |  Page : 78-80

Anesthetic management of cesarean section with mitral stenosis and respiratory tract infection


Department of Anaesthesiology, Employees State Insurance Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Madagondapalli Srinivasan Nataraj
Department of Anaesthesiology, Employees State Insurance Medical College, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4472.143877

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Mitral stenosis in pregnancy is poorly tolerated because of the pregnancy induced physiological changes in the cardiovascular system. Our patient had presented with cardiac failure in 5 th month of gestation due to valve area of 0.8 cm 2 . She underwent commissurotomy and was asymptomatic with valve area of 1.6 cm 2 until term when she developed lower respiratory tract infection. Anesthetic management of emergency caesarean section in this patient is discussed where neuraxial block is not well-tolerated, and general anesthesia is associated with increased morbidity in the presence of reactive airways.


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