Document Detail


Percutaneous balloon mitral valvuloplasty in a pregnant woman with mitral stenosis.
MedLine Citation:
PMID:  3180203     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 39-year-old woman with symptomatic mitral stenosis underwent percutaneous mitral valvuloplasty at the end of her first trimester of pregnancy. Balloon dilatation utilizing a double 18-20 mm balloon technique resulted in improvement in mean mitral gradient (16 to 7 mmHg) and in calculated mitral valve area (1.4 to 2.4 cm2), without significant complications and with an estimated radiation exposure to the fetus of less than 0.2 rads. The procedure resulted in disappearance of symptoms of congestive heart failure and allowed for discontinuation of diuretics. The subsequent course of gestation was uncomplicated and a normal baby boy was delivered in the 36th wk. We conclude that percutaneous mitral valvuloplasty may produce successful palliation of symptoms in patients with mitral stenosis during pregnancy.
Authors:
R D Safian; A D Berman; B Sachs; D J Diver; P C Come; D S Baim; L McKay; W Grossman; R G McKay
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  15     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1988  
Date Detail:
Created Date:  1988-12-05     Completed Date:  1988-12-05     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  103-8     Citation Subset:  IM    
Affiliation:
Charles A. Dana Research Institute, Boston, MA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Balloon Dilatation* / methods
Female
Humans
Infant, Newborn
Male
Mitral Valve Stenosis / therapy*
Pregnancy
Pregnancy Complications, Cardiovascular / therapy*
Pregnancy Trimester, First
Grant Support
ID/Acronym/Agency:
HL 07394/HL/NHLBI NIH HHS

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


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