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  • Title: [Anesthetic management for cesarian section in a patient with mitral stenosis and severe pulmonary hypertension].
    Author: Kubota N, Morimoto Y, Kemmotsu O.
    Journal: Masui; 2003 Feb; 52(2):177-9. PubMed ID: 12649878.
    Abstract:
    Mitral stenosis is one of the complicating cardiac diseases during pregnancy. We experienced cesarean section in a patient with mitral stenosis and severe pulmonary hypertension (94/41 mmHg). During surgery, complete analgesia below T 4 level was obtained by epidural anesthesia with two catheters inserted at L 3-4 and T 11-12 interspaces. By epidural anesthesia, pulmonary arterial pressure decreased to 60/30 mmHg and other hemodynamic variables were stable. A baby (BW:1880 g) was intubated because of tachypnea although Apgar scores were 6-8-8. The anesthetic course of the patient was uneventful.
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