Percutaneous balloon mitral valvuloplasty in a pregnant patient under minimally invasive intravenous anesthesia

The most common rheumatic valvular lesion encountered in pregnant patients is mitral stenosis. The clinical presentation of mitral stenosis in pregnancy is further complicated by the physiological increases in cardiac output and blood volume occurring during pregnancy that make the pregnant patient with this valvular disease more susceptible to decompensation. We report a case of a 35-year-old woman presenting at 21 weeks gestation with severe mitral valve disease who underwent percutaneous balloon mitral valvuloplasty under intravenous anesthesia. In the case described, mitral stenosis during pregnancy and available treatment approaches are being discussed