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Vijayakumar V, Santhoshini T, Govindarajulu D, et al. Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report. Saudi J Anaesth. 2019;13(3):237-239doi: 10.4103/sja.SJA_781_18.
Vijayakumar, V., Santhoshini, T., Govindarajulu, D., & Mushahida, S. (2019). Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report. Saudi journal of anaesthesia, 13(3), 237-239. https://doi.org/10.4103/sja.SJA_781_18
Vijayakumar, Vinodhadevi, et al. "Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report." Saudi journal of anaesthesia vol. 13,3 (2019): 237-239. doi: https://doi.org/10.4103/sja.SJA_781_18
Vijayakumar V, Santhoshini T, Govindarajulu D, Mushahida S. Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report. Saudi J Anaesth. 2019 Jul-Sep;13(3):237-239. doi: 10.4103/sja.SJA_781_18. PMID: 31333370; PMCID: PMC6625292.
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Saudi J Anaesth. 2019 Jul-Sep;13(3):237-239. doi: 10.4103/sja.SJA_781_18.

Anesthetic challenges in a pregnant patient with post mitral valve replacement, complete heart block, and coagulopathy coming for emergency cesarean section: A case report.

Saudi journal of anaesthesia

Vinodhadevi Vijayakumar, Thiruvarul Santhoshini, Dhanabagyam Govindarajulu, Shaik Mushahida

Affiliations

  1. Department of Anesthesiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

PMID: 31333370 PMCID: PMC6625292 DOI: 10.4103/sja.SJA_781_18

Abstract

A 24-year-old primigravida with a history of rheumatic heart disease and prosthetic mitral valve on oral anticoagulation who was lost follow-up during the third trimester presented with premature rupture of membranes. On evaluation, she had new-onset complete heart block. She was temporarily paced but developed cardiac failure. Anesthetic challenges and management of this parturient with post mitral valve replacement, complete heart block, and warfarin-induced coagulopathy for emergency cesarean delivery are discussed in this case report. Ours is the first case report of a pregnant patient with new onset of complete heart block during pregnancy several years after mitral valve replacement.

Keywords: Cesarean delivery; coagulopathy; complete heart block; parturient; prosthetic mitral valve; warfarin

Conflict of interest statement

There are no conflicts of interest.

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