Document Detail

Emergency redo mitral valve replacement in a pregnant woman at third trimester: case report and literature review.
MedLine Citation:
PMID:  18728340     Owner:  NLM     Status:  MEDLINE    
Pregnancy carries significant physiological changes that demand more cardiac output, so structural cardiac disease can cause life-threatening complications. A woman had rheumatic mitral stenosis and underwent mitral valve replacement (MVR) with bioprosthesis 8 years prior to admission. She presented with dyspnea and leg edema at 30 weeks of gestation. Severe mitral stenosis caused by xenograft failure was noted on echocardiography. Management was conservative until a sudden onset of hemodynamic compromise requiring emergency redo MVR under normothermic cardiopulmonary bypass with intra-aortic balloon pump. Monitoring of fetal heartbeat and uterine contractions showed no significant abnormalities and the woman gave birth to a full-term baby by Cesarean section with postoperative warfarin therapy.
Tzu-Yu Lin; Kuan-Ming Chiu; Jiann-Shing Shieh; Shu-Hsun Chu
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-08-26
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  72     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-26     Completed Date:  2008-12-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1715-7     Citation Subset:  IM    
Department of Anesthesia, Far Eastern Memorial Hospital, Taiwan, R.O.C.
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MeSH Terms
Fetal Death
Heart Valve Prosthesis Implantation / methods*
Mitral Valve / surgery*
Mitral Valve Stenosis / complications,  surgery*
Pregnancy Complications / surgery*
Pregnancy Trimester, Third
Prosthesis Failure
Rheumatic Heart Disease / complications,  surgery
Transplantation, Heterologous

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