Balloon Mitral Valvuloplasty (BMV) in Pregnancy: A Four-Year Experience at Shahid Gangalal National Heart Centre (SGNHC), Nepal

Autor:	Rajib Rajbhandari, Deewakar Sharma, Laxman Dubey, Shyam Raj Regmi, Arun Maskey, Yuba Raj Limbu, Yadav Bhatt, Man Bahadur Kc, Rabi Malla
Rok vydání:	2017
Předmět:	medicine.medical_specialty Pregnancy business.industry medicine.medical_treatment Thyroid disease Balloon medicine.disease Malignancy Surgery Shahid Stenosis medicine Caesarean section Peripartum Period business
Zdroj:	Nepalese Heart Journal. 6:35-38
ISSN:	2382-5464 2091-2978
DOI:	10.3126/njh.v6i1.18592
Popis:	Balloon Mitral Valvuloplasty (BMV) has been performed safely during pregnancy with good results. This study was intended to see the efficacy and safety of BMW in this subset. Retrospective analysis of 22 pregnant women among a total of 861 patients who had undergone BMV for severe mitral stenosis at SGNHC from January 2003 to December 2007 were done. Mean fulroscopy time was 7.5±4.8 min. post-BMV, the mean left atrial pressure dropped from 28.12±4.3 mmHg to 15.32±6.4 mmHg. Mitral valve area as assessed by echocardiography increased from 0.76 01770.21 cm2 to 1.8±0.26 cm2. all the patients showed symptomatic improvement. Six patients had an increase in MR by 2 grades. Twenty patients had a normal delevery while 2 underwent a caesarean section. There was no meternal morbidity or mortality in the peripartum period. On follow up for 26±15 months, all babies maintained normal growth and development without any thyroid disease or malignancy. During pregnancy BMV is feasible, safe and effective. Maternal and fetal outcomes are excellent. Growth and milestone of development are not affected.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::5967d3c4905657e2c45117909c234b50 https://doi.org/10.3126/njh.v6i1.18592 Zobrazit plný text záznamu