Emergency LSCS in A Patient with Rheumatic Heart Disease and Severe Mitral Stenosis and PAH (NYHA III)

Samrajni Ganguly, Aishwarya V. Bandewar, Olvyna Dsouza, Rohan Roshan Nayak, Jessy Sabu

Abstract: The incidence of rheumatic mitral stenosis has grossly decreased in India. Still, among heart diseases complicating pregnancy, rheumatic mitral stenosis occupies a greater segment. The unique physiological changes in pregnancy and the pathological impact of mitral stenosis over pregnancy and labour are discussed in detail. A multidisciplinary approach in the diagnosis and management reduces the mortality and morbidity during peripartum. The anasesthesia management used in a case of an emergency LSCS in a patient with severe MS is discussed at length in this article.

Keywords: LSCS, mitral stenosis, rheumatic heart disease, severe, PAH