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Severe preeclampsia complicating mitral valve stenosis
1Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, USA.
Regional Anesthesia and Pain Medicine
|May 7, 1998
Background And Objectives:
We present a report of a parturient with severe mitral valve stenosis diagnosed during a previous pregnancy who developed severe preeclampsia.
Methods:
Labor and subsequent abdominal delivery were managed with epidural analgesia and anesthesia. The clinical management was guided by invasive hemodynamic monitoring, including a flow-directed pulmonary artery catheter.
Conclusions:
Peripartum maternal and neonatal outcomes were satisfactory. Postpartum complications included pulmonary edema as well as peripartum heart failure and pulmonary thromboembolism 4 weeks postpartum.