| Management of mitral valve stenosis in pregnancy: case presentation and review of the literature. | |
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MedLine Citation:
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PMID: 8834719 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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R A Yaryura; R J Carpenter; J M Duncan; S Wilansky |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Journal of heart valve disease Volume: 5 ISSN: 0966-8519 ISO Abbreviation: J. Heart Valve Dis. Publication Date: 1996 Jan |
Date Detail:
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Created Date: 1996-12-04 Completed Date: 1996-12-04 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9312096 Medline TA: J Heart Valve Dis Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 16-9 Citation Subset: IM |
Affiliation:
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Department of Adult Cardiology, Texas Heart Institute, Houston, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Calcinosis / surgery Cesarean Section* Echocardiography, Doppler Female Heart Failure / surgery Heart Valve Prosthesis* Hemodynamics / physiology Humans Infant, Newborn Mitral Valve Insufficiency / surgery Mitral Valve Stenosis / surgery* Pregnancy 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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