CASE REPORT
Year : 2019  |  Volume : 13  |  Issue : 3  |  Page : 237-239

Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report


Department of Anesthesiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Vinodhadevi Vijayakumar
Consultant Anesthesiologist, Meenakshi Hospital, Thanjavur - 613 005, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_781_18

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A 24-year-old primigravida with a history of rheumatic heart disease and prosthetic mitral valve on oral anticoagulation who was lost follow-up during the third trimester presented with premature rupture of membranes. On evaluation, she had new-onset complete heart block. She was temporarily paced but developed cardiac failure. Anesthetic challenges and management of this parturient with post mitral valve replacement, complete heart block, and warfarin-induced coagulopathy for emergency cesarean delivery are discussed in this case report. Ours is the first case report of a pregnant patient with new onset of complete heart block during pregnancy several years after mitral valve replacement.


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