Severe mitral stenosis in a parturient with congestive cardiac failure and hypoglycaemia.

Abstract

We report a case of maternal mortality in a 34-year-old multipara who presented at the 35th week of gestation with severe hypoglycaemia. She had no history of diabetes mellitus. This episode was a prelude to catastrophic and refractory congestive cardiac failure due to previously undiagnosed severe mitral stenosis. The rapid cardiovascular deterioration initially appeared to be consistent with amniotic fluid embolism. She also developed deranged liver function with disseminated intravascular coagulation, which mimicked acute fatty liver of pregnancy. The problems of diagnosis and management are discussed. Unfortunately the patient died before mitral valvular commissurotomy could be effected.

Cite this paper

@article{Sia1998SevereMS, title={Severe mitral stenosis in a parturient with congestive cardiac failure and hypoglycaemia.}, author={Alex Tiong Heng Sia and Jin Long Chong and Chew Gee Tan}, journal={International journal of obstetric anesthesia}, year={1998}, volume={7 3}, pages={173-6} }