Özet:

The presence of heart disease in pregnancy is still one of the most important causes of mother death. The risk of developing acute coronary syndrome during pregnancy increases. Caesarine provides adequate hemodynamic monitoring and management in pregnancies with birth heart disease. The ideal method of anesthesia to be applied in pregnancy with heart disease should be discussed. Although regional anesthesia is often the preferred method, general anesthesia can be applied in some specific cases. Invasive monitoring reduces mortality and morbidity in cardiovascular patients with general anesthesia. Opioid use reduces stress response to surgery and entubation. If opioid needs to be administered before birth, remifentanil is an agent that will be preferred with the rapid start of effect and metabolism. In this case, we intended to present our general anesthesia experience in high heart risk pregnancy where regional anesthesia is contraindicated due to the use of anticoagulants.