Document Detail

Management of mitral valve stenosis in pregnancy: case presentation and review of the literature.
MedLine Citation:
PMID:  8834719     Owner:  NLM     Status:  MEDLINE    
Severe mitral stenosis is a challenging complication in pregnancy. A case is described in which mitral valve replacement was undertaken immediately following caesarean section at 34 weeks' gestation. A review of the literature discusses the evolution of treatment approaches for mitral stenosis in pregnancy, including open mitral commissurotomy and percutaneous mitral commissurotomy with the use of balloon catheters. With balloon procedures, potential risks to the fetus are minimized because the abdomen and pelvis are shielded. In addition, the use of adjunct transesophageal echocardiography shortens fluoroscopic time. In the case described, neither open nor percutaneous mitral commissurotomy were viable options because of moderate-to-severe mitral regurgitation and a heavily calcified valve. This is one of few such cases reported in the literature to date.
R A Yaryura; R J Carpenter; J M Duncan; S Wilansky
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  5     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-12-04     Completed Date:  1996-12-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  16-9     Citation Subset:  IM    
Department of Adult Cardiology, Texas Heart Institute, Houston, USA.
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MeSH Terms
Calcinosis / surgery
Cesarean Section*
Echocardiography, Doppler
Heart Failure / surgery
Heart Valve Prosthesis*
Hemodynamics / physiology
Infant, Newborn
Mitral Valve Insufficiency / surgery
Mitral Valve Stenosis / surgery*
Pregnancy Complications, Cardiovascular / surgery*
Rheumatic Heart Disease / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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