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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2019  |  Volume : 9  |  Issue : 2  |  Page : 105-108

Anesthetic management of a case of wolf-parkinson-white syndrome with rheumatic mitral stenosis presenting for cesarean section

1 Clinical Associate Professor of Anesthesiology, Cleveland Clinic of Lerner College of Medicine of Case Western Reserve University, Ohio, United States
2 Professor, Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Amit Jain
Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi
United States
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joacc.JOACC_6_19

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The occurrence of Wolff-Parkinson-White syndrome with rheumatic mitral stenosis is not only an uncommon entity, but also a complex scenario. Although anesthetic concerns in a parturient with Wolff-Parkinson-White syndrome have been addressed previously, to the best of our knowledge, hemodynamic consequences and anesthetic implications of Wolff-Parkinson-White syndrome with coexisting mitral stenosis have not been reported so far. We describe the successful use of a modified low-dose, low-concentration, sequential combined spinal-epidural technique for emergency cesarean section in a parturient with Wolff-Parkinson-White syndrome and severe mitral stenosis.

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