Anesthetic Management of a Patient with Mitral Stenosis Posted for C-Section: A Case Series

Abstract

Rheumatic heart disease is the primary cause of mitral stenosis, which leads to symptomatic pregnancies due to increased blood volume and heart rate. However, neuraxial anesthesia for cesarean delivery can be safely administered to patients with moderate mitral stenosis if systemic vascular resistance, preload, and afterload are maintained. Mitral stenosis is a severe cardiac complication often encountered during pregnancy. It is essential to prevent pregnancy in cases where pulmonary hypertension develops in conjunction with mitral stenosis. In some instances of extreme pulmonary hypertension, positive outcomes have been reported using general and regional anesthesia.