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Severe Preeclampsia Complicating Mitral Valve Stenosis
  1. Beatrice Afrangui, M.D. and
  2. A. M. Malinow, M.D.
  1. From the Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.
  1. Reprint requests: Beatrice Afrangui, M.D., University of Maryland Women's Center, S11C04, UMMC, 22 South Greene Street, Baltimore, MD 21201.


Background and Objectives We present a report of a parturient with severe mitral valve stenosis diagnosed during a previous pregnancy who developed severe preeclampsia.

Methods Labor and subsequent abdominal delivery were managed with epidural analgesia and anesthesia. The clinical management was guided by invasive hemodynamic monitoring, including a flow-directed pulmonary artery catheter.

Conclusions Peripartum maternal and neonatal outcomes were satisfactory. Postpartum complications included pulmonary edema as well as peripartum heart failure and pulmonary thromboembolism 4 weeks postpartum.

  • mitral valve stenosis
  • pulmonary hypertension
  • severe preeclampsia
  • epidural anesthesia
  • cesarean delivery
  • pulmonary artery catheter.

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