PMID- 15198410
OWN - NLM
STAT- MEDLINE
DCOM- 20040706
LR  - 20041117
IS  - 0019-5847 (Print)
IS  - 0019-5847 (Linking)
VI  - 101
IP  - 11
DP  - 2003 Nov
TI  - Perioperative management of pregnant patients with heart disease for caesarian 
      section under anaesthesia.
PG  - 632, 634, 636-7 passim
AB  - One hundred pregnant patients, of age group 22 to 35 years, with different types 
      of cardiac ailments (mitral stenosis, mitral regurgitation, mitral valve 
      prolapse, aortic regurgitation, atrial septal defect, ventricular septal defect, 
      coarctation of the aorta, Eisenmenger syndrome, hypertrophic obstructive 
      cardiomyopathy and operated tetralogy of fallot), put up for elective caesarian 
      section underanaesthesia, were managed in the department of anaesthesiology at 
      IPGME&R/SSKM Hospital, Kolkata from January 1996 to December 2002. The aim of the 
      study was to observe the maternal and foetal outcome in different heart diseases. 
      Death occurred in 2 patients (67%) with Eisenmenger syndrome, in one patient 
      (20%) with hypertrophic obstructive cardiomyopathy and in one patient (5%) with 
      critical mitral stenosis (mitral orifice area = 0.6 cm2) with pulmonary arterial 
      hypertension (PAH). Neonatal mortality was observed in 4 patients [Eisenmenger 
      syndrome--3 (100%); coarctation of the aorta--1 (33%)]. Another 8 patients 
      developed severe heart failure (HF) [severe mitral stenosis (mitral orifice area 
      = 1-1.2 cm2)--2 (10%); hypertrophic obstructive cardiomyopathy--4 (80%); 
      coarctation of the aorta--2 (66%)]. Foetal dysmaturity was observed in 20 
      neonates (54%) belonging to mothers of New York Heart Association (NYHA) classes 
      III and IV. Congenital heart disease (ventricular septal defect) was detected in 
      3 offsprings (20%) of mothers with ventricular septal defect. The study concludes 
      that most pregnant cardiac patients can have a satisfactory outcome with careful 
      perioperative management.
FAU - Biswas, Rahul Guha
AU  - Biswas RG
AD  - Department of Anaesthesiology, IPGME&R, SSKM Hospital, Kolkata.
FAU - Bandyopadhyay, Bijay Kumar
AU  - Bandyopadhyay BK
FAU - Sarkar, Manabendra
AU  - Sarkar M
FAU - Sarkar, Ujjal Kumar
AU  - Sarkar UK
FAU - Goswami, Anupam
AU  - Goswami A
FAU - Mukherjee, Purnima
AU  - Mukherjee P
LA  - eng
PT  - Journal Article
PL  - India
TA  - J Indian Med Assoc
JT  - Journal of the Indian Medical Association
JID - 7505608
SB  - IM
MH  - Adult
MH  - Anesthesia, Conduction
MH  - Anesthesia, Obstetrical
MH  - *Cesarean Section
MH  - Female
MH  - Humans
MH  - Mitral Valve Stenosis
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/*surgery
MH  - *Pregnancy Outcome
EDAT- 2004/06/17 05:00
MHDA- 2004/07/09 05:00
CRDT- 2004/06/17 05:00
PHST- 2004/06/17 05:00 [pubmed]
PHST- 2004/07/09 05:00 [medline]
PHST- 2004/06/17 05:00 [entrez]
PST - ppublish
SO  - J Indian Med Assoc. 2003 Nov;101(11):632, 634, 636-7 passim.