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Severe Preeclampsia Complicating Mitral Valve Stenosis

descriptionPublicationkeyboard_double_arrow_right Article 01 Mar 1998Publisher:BMJJournal:Regional Anesthesia and Pain Medicine, volume 23, pages 204-209 (issn: 1098-7339,

Authors: Andrew M. Malinow; Beatrice Afrangui;

doi: 10.1097/00115550-199823020-00016 , 10.1136/rapm-00115550-199823020-00016

pmid: 9570612

Severe Preeclampsia Complicating Mitral Valve Stenosis

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Abstract

Background and ObjectivesWe present a report of a parturient with severe mitral valve stenosis diagnosed during a previous pregnancy who developed severe preeclampsia.MethodsLabor 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.ConclusionsPeripartum maternal and neonatal outcomes were satisfactory. Postpartum complications included pulmonary edema as well as peripartum heart failure and pulmonary thromboembolism 4 weeks postpartum.

Related Organizations

University of Maryland, College Park
United States
University of Maryland, Baltimore
United States
University of Maryland School of Medicine
United States

Keywords

Adult, Analgesia, Epidural, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Cardiovascular, Analgesia, Obstetrical, Anesthesia, Obstetrical, Humans, Mitral Valve Stenosis, Female

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