Details

Autor(en) / Beteiligte

• Nercolini, Deborah Christina
• Bueno, Ronaldo da Rocha Loures
• Eduardo Guérios, Ênio
• Tarastchuk, José Carlos
• Pacheco, Álvaro Luis
• Andrade, Paulo Mauricio Piá de
• Cunha, Claudio Leinig Pereira da
• Germiniani, Hélio

Titel

Percutaneous mitral balloon valvuloplasty in pregnant women with mitral stenosis

Ist Teil von

• Catheterization and cardiovascular interventions, 2002-11, Vol.57 (3), p.318-322

Ort / Verlag

New York: Wiley Subscription Services, Inc., A Wiley Company

Erscheinungsjahr

2002

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Forty‐four consecutive pregnant patients with mitral stenosis were submitted to percutaneous mitral valvuloplasty (PMV) over a period of 12 years. The mean age was 28 ± 6 years and the mean gestational age was 23 ± 6 weeks. The mean mitral valve area had a significant increase from 1.17 ± 0.26 to 2.06 ± 0.41 cm2 (P = 0.0000). The mean mitral valve gradient decreased from 16.22 ± 5.55 to 7.94 ± 3.75 mm Hg (P = 0.0001). The procedure was performed successfully in 95% of the patients and there were no major complications. Concerning labor and delivery, we evaluated 37 patients. Thirty patients (81%) reached term and delivered normal infants. Seven patients (18.9%) delivered prematurely, resulting in two fetal death; one patient delivered a stillborn. We concluded that PMV is a safe procedure for the treatment of mitral stenosis in pregnant patients, providing significant symptomatic relief and better clinical conditions for labor and delivery. Cathet Cardiovasc Intervent 2002;57:318–322. © 2002 Wiley‐Liss, Inc.