Document Detail

A case of prosthesis-patient mismatch complicating pregnancy.
MedLine Citation:
PMID:  17447192     Owner:  NLM     Status:  MEDLINE    
Prosthesis-patient mismatch occurs when the effective prosthetic valve area is smaller than that of a normal human valve. Its importance in pregnancy is unknown. We describe an asymptomatic patient with higher than normal transvalvular gradients due to prosthesis-patient mismatch who developed congestive heart failure in late pregnancy. Our recommendation is that pregnant patients, particularly those with a small valve prosthesis, undergo serial echocardiography because these patients are at high risk of developing heart failure.
Peter M Belford; Jonathan Davis; Gretchen Wells
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  24     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-07-27     Completed Date:  2007-08-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  241-2     Citation Subset:  IM    
Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1045, USA.
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MeSH Terms
Heart Failure / etiology*
Heart Valve Prosthesis / adverse effects*
Infant, Newborn
Mitral Valve*
Pregnancy Complications, Cardiovascular / etiology*,  ultrasonography

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