Severe preeclampsia complicating mitral valve stenosis.
OBJECTIVE
We present a report of a parturient with severe mitral valve stenosis diagnosed during a previous pregnancy who developed severe preeclampsia.


METHODS
Labor 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.


CONCLUSIONS
Peripartum maternal and neonatal outcomes were satisfactory. Postpartum complications included pulmonary edema as well as peripartum heart failure and pulmonary thromboembolism 4 weeks postpartum.
Afrangui
B
B
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, USA.
Malinow
A M
AM
D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D000773:Anesthesia, Obstetrical; D005260:Female; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications*; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular