Perioperative Management of a Caesarean Section in a Patient with Isolated Pulmonic Stenosis and Severe Pre-eclampsia- Learning from a Case Report

Isolated Pulmonic Stenosis is a relatively uncommon cardiac lesion that causes a right ventricular outflow tract obstruction and possibly a fixed right sided cardiac output. The magnitude of the stenosis and the peak pressure gradient are used to assign a grade. When administering an anaesthetic to such a patient, a detailed understanding of the complexities of a cardiac lesion is essential. Concomitant pregnancy in a woman with Pulmonary Stenosis further complicates matters. Early detection, increased antenatal visits as the pregnancy progresses, and the formulation of a labour, delivery, and childbirth plan are all important. It is recommended that cardiac decompensation be avoided, fetomaternal sufficiency be maintained, and post-operative management be provided in an enhanced maternal care environment.

Author (s) Details

Supriya Preman Thazhath Pullayikudi
Department of Obstetrics and Gynaecology, Manipal Hospital, Bangalore, India.

Nirmal Sheshagiri
Department of Anaesthesia and Critical Care, Cytecare Hospital, Bangalore, India.

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