Anaesthetic Management of a Severe Mitral Stenosis Admitted for a Cerebrovascular Accident with Congestive Heart Failure for Emergency Abdominal Total Hysterectomy, Consequent To Severe Metrorrhagia due to Cerebrovascular Accident Treatment in an Intensiv

Mitral Stenosis is a valvular heart disease. Though its incidence has declined in developed countries, it is a significant problem in tropical and Asian countries which can lead to complications like Pulmonary Hypertension, Congestive Heart Failure, Atrial Fibrillation, Cerebrovascular accidents due to left atrial thrombus. We discuss here the case of a 55-year-old female with severe mitral stenosis with left atrial thrombus getting admitted to a medical intensive care unit with a CVA ( Left Hemiparesis) and the consequent treatment for CVA landing her into a combination of severe congestive heart failure and severe bleeding from the uterus, rendering her severely anemic. A lifesaving surgery like hysterectomy had to be performed in such a frightening scenario of CHF + CVA + Severe mitral stenosis + Severe anemia to save her life.