en بیهوشی Anesthesia گزارش مورد Case Report <table align="left" cellpadding="0" cellspacing="0" hspace="0" vspace="0"> <tbody> <tr> <td align="left"> <p>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&rsquo; 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.</p> <p>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.</p> </td> </tr> </tbody> </table> <div style="clear: both;"></div> General anesthesia, Cesarean section, Remifentanil, Mitral regurgitation, Tricuspid regurgitation 19 22 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-26-4&slc_lang=en&sid=1 Shahram Amini aminish@mums.ac.ir 10031947532846003232 10031947532846003232 Yes Mashhad University of Medical Sciences Minoo Yaghmaei Yaghmeim@gmail.com 10031947532846003233 10031947532846003233 No Zahedan University of Medical Sciences