PDF(Pubmed)
Abstract：
UNASSIGNED: As measured by a right heart catheterization, pulmonary hypertension is an increase in mean pulmonary arterial pressure of more than 25 mmHg at rest or more than 30 mmHg during exercise. Some of the cardiac heart conditions that may develop during pregnancy include severe mitral regurgitation and mild tricuspid regurgitation. Prior to delivery, pregnant patients with pulmonary hypertension and significant multivalvular heart disease need to undergo careful preoperative, multidisciplinary assessment, and anaesthetic planning to maximize cardiac function during the peripartum period and make informed decisions about the delivery mood and anaesthetic technique.
UNASSIGNED: A 30-year-old Para two Gravid three pregnant mother presented with chronic rheumatic heart disease, severe mitral regurgitation, moderate pulmonary hypertension, severe left atrial dilatation, mild aortic regurgitation, and mild tricuspid regurgitation scheduled for elective cesarean section. She had one previous cesarean section four years ago with an indication of fetal macrosomia. Her cardiac condition, however, was moderate mitral regurgitation, mild left atrial dilatation, mild pulmonary hypertension, and no tricuspid or aortic regurgitation. She had continuous follow-ups after diagnosis until now but has not taken any medication.
UNASSIGNED: Anaesthesia management in a patient with severe mitral regurgitation, moderate pulmonary hypertension, severe left atrial dilatation, mild aortic regurgitation, and mild tricuspid regurgitation was challenging in resource limited area. Even if spontaneous delivery is recommended for the patients with cardiac findings, a cesarean delivery will need in the area where limited access to support it. Goal-directed perioperative management with multidisciplinary involvement helps the patient to have a good outcome.
UNASSIGNED: A 30-year-old Para two Gravid three pregnant mother presented with chronic rheumatic heart disease, severe mitral regurgitation, moderate pulmonary hypertension, severe left atrial dilatation, mild aortic regurgitation, and mild tricuspid regurgitation scheduled for elective cesarean section. She had one previous cesarean section four years ago with an indication of fetal macrosomia. Her cardiac condition, however, was moderate mitral regurgitation, mild left atrial dilatation, mild pulmonary hypertension, and no tricuspid or aortic regurgitation. She had continuous follow-ups after diagnosis until now but has not taken any medication.
UNASSIGNED: Anaesthesia management in a patient with severe mitral regurgitation, moderate pulmonary hypertension, severe left atrial dilatation, mild aortic regurgitation, and mild tricuspid regurgitation was challenging in resource limited area. Even if spontaneous delivery is recommended for the patients with cardiac findings, a cesarean delivery will need in the area where limited access to support it. Goal-directed perioperative management with multidisciplinary involvement helps the patient to have a good outcome.
摘要：
■由右心导管测量，肺动脉高压是指静息时平均肺动脉压升高超过25mmHg或运动时平均肺动脉压升高超过30mmHg.怀孕期间可能发生的一些心脏疾病包括严重的二尖瓣反流和轻度的三尖瓣反流。交货前,患有肺动脉高压和严重的多瓣膜性心脏病的孕妇需要进行仔细的术前检查，多学科评估，和麻醉计划，以最大限度地提高围产期的心脏功能，并就分娩情绪和麻醉技术做出明智的决定。
■一位30岁的Para2Gravid3孕母出现慢性风湿性心脏病,重度二尖瓣反流,中度肺动脉高压,严重的左心房扩张,轻度主动脉瓣反流,择期剖宫产术中选择轻度三尖瓣反流。四年前，她曾进行过一次剖宫产，有胎儿巨大儿的迹象。她的心脏状况,然而,中度二尖瓣反流,轻度左心房扩张,轻度肺动脉高压,无三尖瓣或主动脉瓣返流。她在诊断后一直随访到现在，但没有服用任何药物。
■严重二尖瓣反流患者的麻醉管理，中度肺动脉高压,严重的左心房扩张,轻度主动脉瓣反流,在资源有限的地区，轻度三尖瓣返流具有挑战性。即使有心脏发现的患者建议自发分娩，剖腹产需要在获得支持的地区进行。多学科参与的目标导向围手术期管理有助于患者获得良好的预后。
■一位30岁的Para2Gravid3孕母出现慢性风湿性心脏病,重度二尖瓣反流,中度肺动脉高压,严重的左心房扩张,轻度主动脉瓣反流,择期剖宫产术中选择轻度三尖瓣反流。四年前，她曾进行过一次剖宫产，有胎儿巨大儿的迹象。她的心脏状况,然而,中度二尖瓣反流,轻度左心房扩张,轻度肺动脉高压,无三尖瓣或主动脉瓣返流。她在诊断后一直随访到现在，但没有服用任何药物。
■严重二尖瓣反流患者的麻醉管理，中度肺动脉高压,严重的左心房扩张,轻度主动脉瓣反流,在资源有限的地区，轻度三尖瓣返流具有挑战性。即使有心脏发现的患者建议自发分娩，剖腹产需要在获得支持的地区进行。多学科参与的目标导向围手术期管理有助于患者获得良好的预后。
