Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report

A 24-year-old primigravida with a history of rheumatic heart disease and prosthetic mitral valve on oral anticoagulation who was lost follow-up during the third trimester presented with premature rupture of membranes. On evaluation, she had new-onset complete heart block. She was temporarily paced b...

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Autores principales: Vijayakumar, Vinodhadevi, Santhoshini, Thiruvarul, Govindarajulu, Dhanabagyam, Mushahida, Shaik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625292/
https://www.ncbi.nlm.nih.gov/pubmed/31333370
http://dx.doi.org/10.4103/sja.SJA_781_18
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author Vijayakumar, Vinodhadevi
Santhoshini, Thiruvarul
Govindarajulu, Dhanabagyam
Mushahida, Shaik
author_facet Vijayakumar, Vinodhadevi
Santhoshini, Thiruvarul
Govindarajulu, Dhanabagyam
Mushahida, Shaik
author_sort Vijayakumar, Vinodhadevi
collection PubMed
description A 24-year-old primigravida with a history of rheumatic heart disease and prosthetic mitral valve on oral anticoagulation who was lost follow-up during the third trimester presented with premature rupture of membranes. On evaluation, she had new-onset complete heart block. She was temporarily paced but developed cardiac failure. Anesthetic challenges and management of this parturient with post mitral valve replacement, complete heart block, and warfarin-induced coagulopathy for emergency cesarean delivery are discussed in this case report. Ours is the first case report of a pregnant patient with new onset of complete heart block during pregnancy several years after mitral valve replacement.
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spelling pubmed-66252922019-07-22 Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report Vijayakumar, Vinodhadevi Santhoshini, Thiruvarul Govindarajulu, Dhanabagyam Mushahida, Shaik Saudi J Anaesth Case Report A 24-year-old primigravida with a history of rheumatic heart disease and prosthetic mitral valve on oral anticoagulation who was lost follow-up during the third trimester presented with premature rupture of membranes. On evaluation, she had new-onset complete heart block. She was temporarily paced but developed cardiac failure. Anesthetic challenges and management of this parturient with post mitral valve replacement, complete heart block, and warfarin-induced coagulopathy for emergency cesarean delivery are discussed in this case report. Ours is the first case report of a pregnant patient with new onset of complete heart block during pregnancy several years after mitral valve replacement. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6625292/ /pubmed/31333370 http://dx.doi.org/10.4103/sja.SJA_781_18 Text en Copyright: © 2019 Saudi Journal of Anesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Vijayakumar, Vinodhadevi
Santhoshini, Thiruvarul
Govindarajulu, Dhanabagyam
Mushahida, Shaik
Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report
title Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report
title_full Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report
title_fullStr Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report
title_full_unstemmed Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report
title_short Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report
title_sort anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625292/
https://www.ncbi.nlm.nih.gov/pubmed/31333370
http://dx.doi.org/10.4103/sja.SJA_781_18
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AT govindarajuludhanabagyam anestheticchallengesinapregnantpatientwithpostmitralvalvereplacementcompleteheartblockandcoagulopathycomingforemergencycesareansectionacasereport
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