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:: Volume 3, Number 1 and 2 (4-2015) ::
Journal of Surgery and Trauma 2015, 3(1 and 2): 19-22 Back to browse issues page
General anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation
Shahram Amini , Minoo Yaghmaei
Associate Professor of Anesthesiology, Department of Anesthesiology and Critical Care, Mashhad University of medical Mashhad University of Medical Sciences
Abstract:   (1030 Views)

Valvular heart lesions have deleterious effects on hemodynamics in parturients during pregnancy. Cesarean section with an opioid-based general anesthesia is used to alleviate the adverse effects. We described a case of a 28-year-old primigravida at 37 weeks’ gestation with a diagnosis of severe mitral regurgitation, tricuspid regurgitation, and pulmonary hypertension in active labor. Cesarean section under general anesthesia using remifentanil was planned to provide a stable anesthesia and analgesia to minimize hemodynamic changes during surgery. The patient maintained reasonable hemodynamics during surgery. The neonate required transient ventilatory support with bag and mask until she obtained spontaneous respiration.

We suggest that remifentanil is a reliable opioid that can produce stable hemodynamic conditions with transient neonatal respiratory depression during cesarean section under general anesthesia in a parturient with severe valvular heart disease and pulmonary hypertension.

Keywords: General anesthesia, Cesarean section, Remifentanil, Mitral regurgitation, Tricuspid regurgitation
Full-Text [PDF 623 kb]   (815 Downloads)    
Type of Study: case report |
Received: 2015/02/22 | Accepted: 2015/09/19 | Published: 2015/10/11
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Amini S, Yaghmaei M. General anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation. Journal of Surgery and Trauma . 2015; 3 (1 and 2) :19-22
URL: http://jsurgery.bums.ac.ir/article-1-49-en.html
Volume 3, Number 1 and 2 (4-2015) Back to browse issues page
نشریه جراحی و تروما Journal of Surgery and Trauma
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