Background and Objectives. We present a report of a parturient with se
vere mitral valve stenosis diagnosed during a previous pregnancy who d
eveloped severe preeclampsia. Methods: Labor and subsequent abdominal
delivery were managed with epidural analgesia and anesthesia. The clin
ical management was guided by invasive hemodynamic monitoring, includi
ng a now-directed pulmonary artery catheter. Conclusions: Peripartum m
aternal and neonatal outcomes were satisfactory. Postpartum complicati
ons included pulmonary edema as well as peripartum heart failure and p
ulmonary thromboembolism 4 weeks postpartum.