Anaesthetic Management of Mitral Valve  Replacement in Pregnant Woman with Severe Mitral  Stenosis and Left Atrial Clot

Siddhartha Sharma; Anjum Saiyed; Reema Meena

Volume : III, Issue : IX, September - 2013

Anaesthetic Management of Mitral Valve Replacement in Pregnant Woman with Severe Mitral Stenosis and Left Atrial Clot

Siddhartha Sharma, Anjum Saiyed, Reema Meena

Abstract :

A 33 year old female with rheumatic mitral stenosis was posted for mitral valve replacement. As patient was severely orthopnoeic with 32 weeks pregnancy and left arterial clot, so closed mitral valvotomy was not indicated. It was her precious pregnancy, so it was a challenge for us to keep the mother and fetus safe, but was successfully managed. Patient was delivered spontaneously on second postoperative day, a male child with normal APGAR 7/10 at 5 minutes.