title: [Anesthetic management for cesarian section in a patient with mitral stenosis and severe pulmonary hypertension].
abstract: Mitral 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.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Hokkaido University Graduate School of Medicine, Sapporo 060-8638.
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Kubota
authors.forename: Yuji
authors.initials: Y
authors.lastname: Morimoto
authors.forename: Osamu
authors.initials: O
authors.lastname: Kemmotsu
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D008946:Mitral Valve Stenosis / Q000150:complications*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular