• Masui · Feb 2003

    Case Reports

    [Anesthetic management for cesarian section in a patient with mitral stenosis and severe pulmonary hypertension].

    • Nobuhiko Kubota, Yuji Morimoto, and Osamu Kemmotsu.
    • Department of Anesthesiology and Critical Care Medicine, Hokkaido University Graduate School of Medicine, Sapporo 060-8638.
    • Masui. 2003 Feb 1;52(2):177-9.

    AbstractMitral stenosis is one of the complicating cardiac diseases during pregnancy. We experienced cesarean section in a patient with mitral stenosis and severe pulmonary hypertension (94/41 mmHg). During surgery, complete analgesia below T 4 level was obtained by epidural anesthesia with two catheters inserted at L 3-4 and T 11-12 interspaces. By epidural anesthesia, pulmonary arterial pressure decreased to 60/30 mmHg and other hemodynamic variables were stable. A baby (BW:1880 g) was intubated because of tachypnea although Apgar scores were 6-8-8. The anesthetic course of the patient was uneventful.

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