28weeks Pregnancy with preeclampsia with severe aortic stenosis for C-section
Abstract Number: 180
Abstract Type: Case Report/Case Series
37 year old female, G5P4, 28 weeks pregnant, with past medical history of mitral valve prolapse, severe aortic stenosis(aortic valve area of 0.6cm2), moderate aortic regurgitation, congestive heart failure, current smoker, and history of severe preeclampsia during this prgnancy, presented with impending eclampsia for C-section.
Anesthetic plan consisted of optimizing the preload and placing a continuous epidural block with invasive monitoring. Baby delivered by C-section had Apgar scores of 8 and 9. Post delivery of the placenta, patient developed acute pulmonary edema which was successfully treated with diuretics and oxygen therapy. Patient's recovery was uneventful and she was discharged home on the 4th post operative day.