{"id":449,"date":"2017-08-17T18:58:48","date_gmt":"2017-08-17T18:58:48","guid":{"rendered":"http:\/\/5.189.150.156\/~hjog\/?p=449"},"modified":"2017-09-12T18:27:48","modified_gmt":"2017-09-12T18:27:48","slug":"severe-mitral-valve-stenosis-diagnosed-two-days-after-cesarean-section","status":"publish","type":"post","link":"https:\/\/hjog.org\/?p=449","title":{"rendered":"Severe mitral valve stenosis diagnosed two days after cesarean section"},"content":{"rendered":"<p>Micha G<sup>1<\/sup>, Stamatakis E<sup>1<\/sup>, Pamboucas C<sup>2<\/sup>, Valsamidis D<sup>1<\/sup><\/p>\n<p><sup>1<\/sup>Department of Anesthesiology, Alexandra hospital, Athens, Greece<br \/>\n<sup>2<\/sup>Department of Clinical Therapeutics, Alexandra hospital, Athens, Greece<\/p>\n<p><em>Correspondence:<\/em> Micha\u0007G.,\u0007E-mail:mgeo3@yahoo.gr<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/hjog.org\/wp-content\/pdf\/2012\/115-119_2012.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-130\" src=\"https:\/\/hjog.org\/wp-content\/uploads\/2017\/08\/pdf-icons-free-icons-in-file-icons-18.png\" alt=\"\" width=\"48\" height=\"48\" \/><\/a><\/p>\n<hr \/>\n<h5>Abstract<\/h5>\n<p>We present the case of a 29 year old pregnant woman of Pakistani origin who was admitted into the obstetric clinic due to intrauterine growth retardation, fetal bradycardia and preeclampsia. Preoperative evaluation was negative for any preexisting pathology and emergency cesarean section was consequently decided. The patient could only speak the Pakistani language and no information was accessible due to the absence of a translator. The patient was subjected to general anaesthesia and welve hours postoperatively she presented with orthopnea and concurrent tachycardia. An elementary cardiological evaluation was negative for any signs of pathology and intraabdominal bleeding was ruled out after performing an abdominal ultrasound and paracentesis. The patient was transferred into the HDU where she was subjected to right heart catheterization and cardiac ultrasound which revealed severe mitral valve stenosis with pulmonary hypertension resulting in pulmonary edema. Immigrants comprise a special group of patients due to different culture, language barrier, and their vague health record.<\/p>\n<p><em>Keywords:<\/em> mitral stenosis, immigrants, guidelines, cultural mediators<\/p>\n<p>p.115-119<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Micha G, Stamatakis E, Pamboucas C, Valsamidis D<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/hjog.org\/wp-content\/pdf\/2012\/115-119_2012.pdf\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-130\" src=\"https:\/\/hjog.org\/wp-content\/uploads\/2017\/08\/pdf-icons-free-icons-in-file-icons-18.png\" alt=\"\" width=\"48\" height=\"48\" \/><\/a><\/p>\n<p>We present the case of a 29 year old pregnant woman of Pakistani origin who was admitted into the obstetric clinic due to intrauterine growth retardation, fetal bradycardia and preeclampsia. Preoperative evaluation was negative for any preexisting pathology and emergency cesarean section was consequently decided. The patient could only speak the Pakistani language and no information &#8230;<\/p>\n<p><a href=\"<?php echo get_permalink(); ?>&#8220;> Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[54],"tags":[462,461,460,459],"class_list":["post-449","post","type-post","status-publish","format-standard","hentry","category-2012-volume-11-issue-3","tag-cultural-mediators","tag-guidelines","tag-immigrants","tag-mitral-stenosis"],"_links":{"self":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/449","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=449"}],"version-history":[{"count":4,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/449\/revisions"}],"predecessor-version":[{"id":1042,"href":"https:\/\/hjog.org\/index.php?rest_route=\/wp\/v2\/posts\/449\/revisions\/1042"}],"wp:attachment":[{"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=449"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=449"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hjog.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=449"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}