title: Anaesthetic management for caesarean section surgery in two pregnant women with severe pulmonary hypertension due to mitral valve stenosis.
abstract: BACKGROUND
  Mitral stenosis is the most important and common cardiac complication seen during pregnancy. Conception is discouraged in cases where pulmonary hypertension develops during the course of mitral stenosis. Successful general and regional anaesthetic interventions have been reported in some cases of severe pulmonary hypertension.
  
  
  METHODS
  We present our experiences with anaesthetic management in two pregnant patients with pulmonary hypertension due to mitral valve stenosis.
  
  
  CONCLUSIONS
  We preferred to continue spinal anaesthesia because gradually increasing the local anaesthetic dose during the procedure may minimise probable undesirable haemodynamic changes, such as hypotension and tachycardia.
authors.affiliation: Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Mine
authors.initials: M
authors.lastname: Celik
authors.affiliation: Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Ayşenur
authors.initials: A
authors.lastname: Dostbil
authors.affiliation: Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Hacı Ahmet
authors.initials: HA
authors.lastname: Alici
authors.affiliation: Department of Cardiology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Sevimli
authors.affiliation: Department of Obstetric and Gynecology, Nenehatun Hospital, Erzurum, Turkey.
authors.forename: Ayşenur
authors.initials: A
authors.lastname: Aksoy
authors.affiliation: Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Ali Fuat
authors.initials: AF
authors.lastname: Erdem
authors.affiliation: Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Hüsnü
authors.initials: H
authors.lastname: Kürşad
keywords: Mitral Stenosis; caesarean section; pulmonary hypertension; regional anaesthesia