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Indian Journal of Anesthesia and Analgesia 13(1):p 54-56, Jan-March 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13126.9
Case Report
A Case of Myxomatous Mitral Valve for Hysterectomy managed with Continuous Spinal Anaesthesia
Ravi madhusudana, Megha Krishnan, Vimarshitha P, Lakshya T, Dinesh C
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 13(1):p 54-56, Jan-March 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13126.9
How Cite This Article:
Krishnan M, Madhusudhana R, Vimarshitha P, et al. A case of myxomatous mitral valve for hysterectomy managed with continuous spinal anaesthesia. Ind J Anesth Analg. 2026;13(1):54-6.Timeline
Received : October 18, 2025
Accepted : December 18, 2025
Published : March 30, 2026
Abstract
An 70 year old female weighing 41kg and 151 cm tall came with complaints of mass per vagina since 10 years and discharge PV since 2 months. Patient gave history of cough for which pulmonologist opinion was taken and patient was started on Tab Montair LC 0-0-1 and Inj Hydrocort 100 mg 1-0-1. No other knowncomorbidities
Preop vitals were stable Preop investigations revealed a haemoglobin of 10.3 besides which rest all investigations were within normal limits. 2D echo revealed myxomatous Mitral valve with moderate MS; AV sclerotic with mild AR. Mild TR with mild PAH with PASP-50 mmhg and EF-55%. Cardiac opinion was sought and patient was deemed fit for surgery and to be taken under moderate risk. Inj LASIX 20 mg was advised 1hr prior to surgery. Pulmonologist also gave fitness and advised patient can be taken up for surgery under moderate risk. Primary anesthetic plan was under subarachnoid block and alternative was General anaesthesia
Preoperatively patient was given Tab Anxit 0.25 mg and Tab Rantac 150 mg. Nebulisation Duolin and Budecort was advised before shifting the patient to operation theatre. 1 pint PRBC was reserved. Preop Blood pressure was 140/80 mm hg. Intraop anaesthetic plan was changed to continous spinal anaesthesia Intrathecal catheter was inserted in L3-L4 space with the help of 18 G Touhys needle. Inj Bupivacaine 0.5% heavy-0.8cc was given initially at 10 am and a dose of inj Bupivacaine 0.5% heavy-0.6cc was repeated at 11:10 am. Patient maintained sensory block till T8. Patients vitals, urine output and blood loss was closely monitored and was uneventful.
References
- 1. Wanda ML. Myxomatous mitral valve disease and related entities: the role of matrix in valvular heart disease. Cardiovasc Pathol. 1995;4(4):257-64.
- 2. Paul A, Das S. Valvular heart disease and anaesthesia. Indian J Anaesth. 2017;61(9):721-7.
- 3. Scarfò I, La Canna G. Is pulmonary artery pressure a trigger of adverse outcome in mitral regurgitation? Ann Transl Med. 2016;4(18):357.
- 4. Kumar CM, Seet E. Continuous spinal technique in surgery and obstetrics. Best Pract Res Clin Anaesthesiol. 2023;37(2):139-56.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Krishnan M, Madhusudhana R, Vimarshitha P, et al. A case of myxomatous mitral valve for hysterectomy managed with continuous spinal anaesthesia. Ind J Anesth Analg. 2026;13(1):54-6.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| October 18, 2025 | December 18, 2025 | March 30, 2026 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.13126.9
Keywords
Continuous Spinal AnaesthesiaMyxomatous Mitral ValvePulmonary Artery HypertensionSearch for Similar Articles
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Timeline
| Received | October 18, 2025 |
| Accepted | December 18, 2025 |
| Published | March 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
