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Pulmonary edema following cesarean section under spinal anesthesia: a case report
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Seyed Alireza Bameshki1   , Nahid Zirak , Mohammad reza Sabzali Zanjankhah , Ebrahim Golmakani |
| 1- , bameshkiar@mums.ac.ir |
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Abstract: (16096 Views) |
| ABSTRACT
Background and Aim: This is a report of pulmonary edema following cesarean section under spinal anesthesia in a patient with valvular heart disease.
Case report: The patient was a 38-yr old multigravida woman without history of cardiac disease. She was operated under spinal anesthesia and remained haemodynamically stable throughout the procedure. But she developed respiratory distress at the end of operation in the recovery room. The only finding in ECG of the patients was sinus tachycardia and chest X-ray revealed bilateral pulmonary edema. The result of echocardiography was suggestive of moderate to severe mitral stenosis. Diagnosis of pulmonary emboli was excluded by perfusion scan. The patient was treated with diagnosis of pulmonary edema and after two hours the patient showed some improvement. Result of the echocardiography on the next day, confirmed the diagnosis.
Conclusion: Physical examination should be performed carefully in order to determine the proper method of anesthesia. Spinal anesthesia in patients with mitral stenosis, in particular in pregnancy may not be well tolerated and should be performed cautiously.
Key words: Polmonary Edema, Mitral Stenosis, Cesarean section, Spinal Anesthesia
Conflict of Interest: Nill
Received: June 29, 2009 Accepted: October 27, 2009 |
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| Keywords: Polmonary Edema, Mitral Stenosis, Cesarean section, Spinal Anesthesia |
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Full-Text [PDF 482 kb]
(1965 Downloads)
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Type of Study: Original Research |
Subject:
General
Received: 2010/01/12 | Published: 2009/12/15
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