PERIOPERATIVE MANAGEMENT OF A CASE OF CHRONIC RHEUMATIC HEART DISEASE POSTED FOR EMERGENCY CAESAREAN SECTION
Author:
Mounika A.V.1, Aftab Shaik1, Muni Reddy MVR2, Karthik Lagusani2, Srivani Mechineni3, Nikhil Mudgalkar4
Affiliation:
1. Junior resident, department of anesthesiology, Prathima institute of medical sciences, Nagunur, Karimnagar. 2. Junior resident, department of anesthesiology , Prathima institute of medical sciences, Nagunur, Karimnagar. 3. Assosiate professor, department of anesthesiology, Prathima institute of medical sciences, Nagunur, Karimnagar. 4. Professor and head of the department, department of anesthesiology, Prathima institute of medical sciences, Nagunur, Karimnagar.
Abstract
Rheumatic heart disease(RHD) still remains an endemic in India. It is one of the major causes of mortality
and morbidity in parturients in developing countries. We present a 26 year old second gravida with
history of chronic rheumatic heart disease with multiple valvular disease. She presented with complaints of palpitations,
dyspnoea progressing from New York Heart Association (NYHA) class II to class III. On physical examination, patient was pale,
had bilateral pedal edema, tachycardia, dyspnoea, undifferentiated murmur on auscultation. Further evaluation revealed
anemia, dilated left atrium, moderate mitral regurgitation, mild mitral stenosis, mild aortic regurgitation and fetal distress.
Patient was taken for emergency caesarean section in the view of maternal condition and fetal distress. She developed
pulmonary edema during surgery and was kept on ventilator to optimize the patient condition with further management. She
was successfully extubated after 3 days of meticulous care in intensive care unit (ICU).
Publisher
World Wide Journals
Subject
Visual Arts and Performing Arts,Communication,Energy Engineering and Power Technology,Renewable Energy, Sustainability and the Environment,Electrical and Electronic Engineering,Computer Science Applications,Mechanical Engineering,Transportation,Cardiology and Cardiovascular Medicine,Molecular Biology,Molecular Biology,Structural Biology,Catalysis,General Engineering,Physical and Theoretical Chemistry,Process Chemistry and Technology,Catalysis,Process Chemistry and Technology,Biochemistry,Bioengineering,Catalysis,Cell Biology,Genetics,Molecular Biology,General Medicine
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