Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report

We present the anesthetic management of a 23-year-old gravida 2 para 0-0-1-0 with a history of mitral valve replacement secondary to congenital mitral dysplasia. The hemodynamic changes of pregnancy had resulted in severe functional mitral stenosis of her mechanical valve, which was significantly un...

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Autores principales: Johnson, Erica M., Dolak, James A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health, Inc 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190049/
https://www.ncbi.nlm.nih.gov/pubmed/32784321
http://dx.doi.org/10.1213/XAA.0000000000001203
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author Johnson, Erica M.
Dolak, James A.
author_facet Johnson, Erica M.
Dolak, James A.
author_sort Johnson, Erica M.
collection PubMed
description We present the anesthetic management of a 23-year-old gravida 2 para 0-0-1-0 with a history of mitral valve replacement secondary to congenital mitral dysplasia. The hemodynamic changes of pregnancy had resulted in severe functional mitral stenosis of her mechanical valve, which was significantly undersized for her current body surface area. Her complex cardiac history required our multidisciplinary team to focus on peripartum anticoagulation management, extracorporeal membrane oxygenation (ECMO) preparation under a dural puncture epidural (DPE) technique, and managing the hemodynamic changes that are critical for a congenital heart disease parturient.
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spelling pubmed-71900492020-05-04 Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report Johnson, Erica M. Dolak, James A. A A Pract Case Report We present the anesthetic management of a 23-year-old gravida 2 para 0-0-1-0 with a history of mitral valve replacement secondary to congenital mitral dysplasia. The hemodynamic changes of pregnancy had resulted in severe functional mitral stenosis of her mechanical valve, which was significantly undersized for her current body surface area. Her complex cardiac history required our multidisciplinary team to focus on peripartum anticoagulation management, extracorporeal membrane oxygenation (ECMO) preparation under a dural puncture epidural (DPE) technique, and managing the hemodynamic changes that are critical for a congenital heart disease parturient. Wolters Kluwer Health, Inc 2020-04-17 /pmc/articles/PMC7190049/ /pubmed/32784321 http://dx.doi.org/10.1213/XAA.0000000000001203 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Johnson, Erica M.
Dolak, James A.
Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report
title Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report
title_full Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report
title_fullStr Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report
title_full_unstemmed Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report
title_short Cesarean Delivery in a Parturient With “Repaired” Congenital Mitral Dysplasia and Severe Functional Mitral Stenosis: A Case Report
title_sort cesarean delivery in a parturient with “repaired” congenital mitral dysplasia and severe functional mitral stenosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190049/
https://www.ncbi.nlm.nih.gov/pubmed/32784321
http://dx.doi.org/10.1213/XAA.0000000000001203
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