Emergency LSCS in A Patient with Rheumatic Heart Disease and Severe Mitral Stenosis and PAH (NYHA III)

The incidence of rheumatic mitral stenosis has grossly decreased in India. Still, among heart diseases complicating pregnancy, rheumatic mitral stenosis occupies a greater segment. The unique physiological changes in pregnancy and the pathological impact of mitral stenosis over pregnancy and labour are discussed in detail. A multidisciplinary approach in the diagnosis and management reduces the mortality and morbidity during peripartum. The anasesthesia management used in a case of an emergency LSCS in a patient with severe MS is discussed at length in this article.