Anesthesia Management for Cesarean Section in a Twin Pregnant with Severe Mitral Stenosis, Pulmonary Hypertension and Placenta Accrete

Feride K* and Hakkı Ü

Department of Anesthesiology, Çukurova University School of Medicine, Turkey

^*Correspondance to: Feride Karacaer 

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Abstract:

Maternal mortality rises up to 15% in patients with Mitral Stenosis (MS) complicated with Pulmonary Hypertension (PH). The cardiac output in a twin pregnancy is known to be 15% higher than singleton pregnancy. Placenta Accrete (PA) may increase maternal mortality and morbidity because of the risk of massive hemorrhage. Perioperative management of these patients requires a multidisciplinary approach with careful planning regarding appropriate anesthetic technique, intraoperative bleeding and postoperative care. We present a case of a twin pregnancy in a patient with MS and PH that was complicated by PA.

Keywords:

Twin pregnancy; Placenta accrete; Mitral stenosis; Pulmonary hypertension

Cite the Article:

Feride K, Hakkı Ü. Anesthesia Management for Cesarean Section in a Twin Pregnant with Severe Mitral Stenosis, Pulmonary Hypertension and Placenta Accrete. Ann Clin Case Rep. 2023; 8: 2529.