SEVERE PREECLAMPSIA COMPLICATING MITRAL-VALVE-STENOSIS

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.