Rheumatic mitral stenosis in a 28-week pregnant woman treated by mitral valvuoplasty guided by low dose of radiation: a case report and brief overview
| Autor: | Arturo Cesaro, Eduardo Pinar Bermudez, Iris Garrido Bravo, Paolo Calabrò |
|---|---|
| Přispěvatelé: | Cesaro, A., Bravo, I. G., Calabro, Paolo, Bermudez, E. P. |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Percutaneous 030204 cardiovascular system & hematology Transesophageal echocardiogram Catheterization 03 medical and health sciences Teratogenicity 0302 clinical medicine Pregnancy Internal medicine medicine Humans Mitral Valve Stenosis cardiovascular diseases 030212 general & internal medicine Mitral stenosi Malformation Transcatheter valvuloplasty Pathological medicine.diagnostic_test business.industry valvular heart disease Angiography General Medicine medicine.disease Cardiac surgery Pregnancy Complications Cardiothoracic surgery cardiovascular system Cardiology Female Surgery Pregnant Women Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 69:364-366 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-020-01465-5 |
| Popis: | Rheumatic mitral stenosis is still a pathological condition that affects young patients and is an important cause of mortality. 2017-European Guidelines for the management of valvular heart disease suggest a percutaneous approach with a mitral commissurotomy for the treatment of symptomatic pregnant women. Mitral commissurotomy procedure involves radiation exposure that is incompatible with the pregnancy condition. In our case, we present percutaneous mitral commissurotomy (PMC) to a 28-week pregnant woman with a low-radiation dose and the use of transesophageal echocardiography. The woman presented with a mitral transvalvular mean gradient of 21.6mmHg and with symptoms non-responsive to medical treatment. PMC was driven by a transesophageal echocardiographic probe. This case demonstrates the feasibility and safety of PMC in a pregnant woman with severe rheumatic mitral stenosis. |
| Databáze: | OpenAIRE |
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