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- Sukhen Samanta, Sujay Samanta, Tanmoy Ghatak, and V K Grover.
- Department of Anesthesia & Critical Care (Trauma Centre), JPNA Trauma Centre, AIIMS, New Delhi, India 110029. Electronic address: dr.sukhensamanta@gmail.com.
- J Clin Anesth. 2014 May 1;26(3):235-7.
AbstractValvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema. Low-dose spinal with hyperbaric bupivacine 0.5% 1.8 mL plus 25 μg of fentanyl was used for anesthesia. Chest ultrasonography (US) and transthoracic echocardiography (TTE) were used for monitoring purposes. Spinal-induced preload reduction improved the pulmonary edema, as evidenced by chest US. Chest US and TTE helped in fluid management.Copyright © 2014 Elsevier Inc. All rights reserved.
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