Perioperative Management Challenges and Cardiac Arrest in Termination of Pregnancy for Severe Rheumatic Valvular Heart Disease: A Case Report

Pregnancy termination in patients with valvular heart disease carries significant risks, particularly during curettage. This case report describes a 35-year-old woman with severe rheumatic heart disease, including mitral stenosis, regurgitation, and atrial fibrillation. At 10 weeks gestation, she experienced intrauterine fetal demise, and a curettage with sterilization was performed under general anesthesia. The procedure was complicated by a vasovagal reaction causing cardiac arrest, requiring CPR and ICU care. Despite successful resuscitation, the patient needed intensive management for persistent atrial fibrillation, including cardioversion and medications. This case emphasizes the need for meticulous perioperative planning, multidisciplinary care, and close monitoring in high-risk patients to prevent complications and ensure favorable outcomes. Future research should focus on optimizing care protocols for these patients