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Cite this article
Combined spinal epidural anesthesia and non-invasive positive pressure ventilation for emergency cesarean section in a parturient with acute pulmonary edema due to pre-existing multivalvular cardiac disease
1 Department of Anesthesiology, Baskent University Zubeyde Hanim Practice and Research Centre, İzmir, Turkey
2 Department of Obstetrics and Gynecology, Baskent University Zubeyde Hanim Practice and Research Centre, İzmir, Turkey
Clin. Exp. Obstet. Gynecol. 2017, 44(4), 622–623; https://doi.org/10.12891/ceog3397.2017
Published: 10 August 2017
Acute pulmonary edema in pregnant women with pre-existing cardiac disease is an uncommon problem, which may lead to significant maternal morbidity and mortality. It may occur due to superimposed characteristic features of the physiological changes related to pregnancy. The management is difficult, because there is no controlled trials or guidelines. The authors present their management of combined spinal epidural anesthesia with non-invasive ventilation in a parturient with acute pulmonary edema, due to pre-existing multivalvular heart disease and pulmonary hypertension, who underwent an emergency cesarean section because of preterm labour and fetal distress.
Multivalvular heart disease
Combined spinal epidural anesthesia