Epidural Anaesthesia a Saviour in a Case of Mitral Stenosis Posted For Emergency LSCS

It is challenging for an Anaesthesiologist to provide correct anaesthesia technique to a patient with Mitral Stenosis posted for Emergency LSCS. In the presence of maternal heart disease, the circulatory changes of pregnancy may result in exacerbation of the hemodynamic changes leading to maternal and fetal morbididty and mortality. We report the successful anaesthetic management with graded epidural technique which minimises the hemodyanamic perturbations. Successful management requires proper perioperative monitoring and thorough knowledge of the valvular heart disease.