Aortic stenosis and pregnancy: a case report and review of peripartum anesthetic management

ABSTRACT

Pregnancy and the peripartum period represent a physiological burden for the patient with aortic valve stenosis. Maintaining cardiovascular stability with optimal hemodynamic parameters and adequate systemic perfusion pressure during the anesthetic management of patients with aortic stenosis can be extremely challenging. Although epidural regional anesthesia for delivery and labor is traditionally contraindicated in these patients, we report a successful and uncomplicated epidural anesthesia in a patient with severe aortic stenosis scheduled for elective induction of labor