CESAREAN-SECTION, MITRAL VALVULOPATHY AND PULMONARY-HYPERTENSION - IMPLICATIONS OF HEMODYNAMIC MONITORING ON ANESTHETIC MANAGEMENT

We present the case of a 25-year-old woman with mitral valve disease a nd severe pulmonary hypertension scheduled for Caesarean section under general anaesthesia. General anaesthesia for such cardiac patients re quires usually high doses of fentanyl prior to intubation, which favou rs maternal inhalation and neonatal ventilatory depression. Invasive h aemodynamic monitoring allowed a rapid sequence induction, with an opt imal drug titration and an early recovery.