PULMONARY EDEMA DUE TO MITRAL STENOSIS IN PREGNANCY: A CASE REPORT

Abstract

SUMMARY Mitral stenosis is a valve disease, that creates the most trouble during pregnancy and birth process. Plasma volume increases due to sodium and water retention during pregnancy and the second trimester of pregnancy it reaches the maximum level. At the first trimester of pregnancy, normal cardiac output increases by 30 to 40% and this condition causes significant hemodynamic changes in patients with mitral stenosis. Pulmonary edema occurs rapidly with high left atrial pressure due to increase of preload. ‹t is noted that acute pulmonary edema is the primary cause on maternal mortality in pregnant women with mitral stenosis . Clinical signs are becoming evident, especially after the 12th week. Despite the best conservative treatment, maternal and infant mortality can be seen.In this case, we present a rare occurrence of pulmonary edema following dispne due to mitral stenosis in a 19 years old pregnant at 29th week of the first pregnancy.