Mine Celik1, Ayşenur Dostbil1, Hacı Ahmet Alici1, Serdar Sevimli2, Ayşenur Aksoy3, Ali Fuat Erdem1, Hüsnü Kürşad1. 1. Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey. 2. Department of Cardiology, Atatürk University Faculty of Medicine, Erzurum, Turkey. 3. Department of Obstetric and Gynecology, Nenehatun Hospital, Erzurum, Turkey.
Abstract
BACKGROUND: Mitral stenosis is the most important and common cardiac complication seen during pregnancy. Conception is discouraged in cases where pulmonary hypertension develops during the course of mitral stenosis. Successful general and regional anaesthetic interventions have been reported in some cases of severe pulmonary hypertension. CASE REPORTS: We present our experiences with anaesthetic management in two pregnant patients with pulmonary hypertension due to mitral valve stenosis. CONCLUSION: We preferred to continue spinal anaesthesia because gradually increasing the local anaesthetic dose during the procedure may minimise probable undesirable haemodynamic changes, such as hypotension and tachycardia.
BACKGROUND:Mitral stenosis is the most important and common cardiac complication seen during pregnancy. Conception is discouraged in cases where pulmonary hypertension develops during the course of mitral stenosis. Successful general and regional anaesthetic interventions have been reported in some cases of severe pulmonary hypertension. CASE REPORTS: We present our experiences with anaesthetic management in two pregnant patients with pulmonary hypertension due to mitral valve stenosis. CONCLUSION: We preferred to continue spinal anaesthesia because gradually increasing the local anaesthetic dose during the procedure may minimise probable undesirable haemodynamic changes, such as hypotension and tachycardia.