Percutaneous double balloon mitral valvuloplasty in pregnant women

Mangione, JoséArmando; Zuliani, M.; Castillo, José María; Nogueira, Eduardo Arantes; Arie, S

doi:10.1016/0002-9149(89)90663-2

Cited by 53 publications

(26 citation statements)

References 5 publications

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“…When the normal mitral valve orifice area of 4 to 6 cm 2 is progressively reduced to 2 cm 2 , the classical symptoms of mitral heart disease start appearing. 6 Cardiac decompensation and pulmonary edema may occur in pregnant women with overt or silent mitral valve stenosis during the second or third trimester (Fig. 1).…”

Section: Discussionmentioning

confidence: 99%

Successful Percutaneous Mitral Valve Balloon Valvuloplasty during Third Trimester

Sree¹,

Mamatha²,

Manoli³

2017

Journal of South Asian Federation of Obstetrics and Gynaecology

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Rheumatic mitral stenosis is the most common acquired valvular lesion in pregnant women. The overall mortality is 1%, but can go up to 5% in those patients with New York Heart Association class III and IV symptoms. Percutaneous mitral balloon valvuloplasty (PMBV) is the procedure of choice in the treatment of rheumatic mitral stenosis. The PMBV is usually done in the first or second trimester, but in the third trimester, PMBV is a less common procedure.A 24-year-old gravida 2 para 1 living 1 with 35 weeks of gestation with previous lower segment cesarean section (LSCS) presented with breathlessness and swelling of lower limbs. Evaluation revealed rheumatic mitral stenosis of moderate severity with moderate mitral regurgitation with cardiac failure. Hence, PMBV was done, which resulted in increase of mitral valve area from 0.6 to 1.7 cm 2 . She had marked symptomatic improvement, and cesarean section was done at 36 weeks 5 days for previous LSCS with preterm premature rupture of membranes. The postoperative period was uneventful.Our report reinforces the fact that third trimester PMBV is safe and effective during pregnancy with no untoward effect on the fetus.

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Section: Discussionmentioning

confidence: 99%

Successful Percutaneous Mitral Valve Balloon Valvuloplasty during Third Trimester

Sree¹,

Mamatha²,

Manoli³

2017

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…Several studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] have shown favorable immediate results with percutaneous treatment in these patients, with a significant increase in valve area and low complication rates.…”

Section: Discussionmentioning

confidence: 99%

“…Fluoroscopy-guided balloon valvuloplasty is known to be safe and effective in pregnant patients with symptomatic mitral stenosis, and its role is well established in the literature worldwide [1][2][3] . However, the fetus is exposed to the harmful effects of ionizing radiation.…”

Section: Introductionmentioning

confidence: 99%

Valvoplastia mitral percutânea em paciente gestante guiada apenas pelo ecocardiograma transesofágico

Mangione¹,

Cristóvão²,

Maior³

et al. 2007

Arq. Bras. Cardiol.

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“…Isolated case reports using conven tional single or double balloon catheters with favourable maternal and fetal outcomes have been described by Safian et al [4] Palacios et al [5] and Smith et al [9], Larger series of patients, again using conventional balloon catheters, have also been reported recently. Five and 13 pregnant women were described by Mangione et al [ 10] and Esteves et al [ 11 ]. respectively.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Balloon Mitral Valvotomy in Pregnancy Using the Inoue Balloon Catheter

Chow

Chow²,

Wat³

et al. 1992

Cardiology

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Percutaneous balloon mitral valvotomy (PBMV) using the Inoue balloon catheter was performed successfully in 2 patients with severe mitral stenosis refractory to medical treatment during pregnancy. Because of its unique design and ease of manipulation, we recommend the Inoue balloon catheter for performing PBMV in selected patients with mitral stenosis during pregnancy, as procedure and fluoroscopy times can be significantly shortened.

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Percutaneous double balloon mitral valvuloplasty in pregnant women

Cited by 53 publications

References 5 publications

Successful Percutaneous Mitral Valve Balloon Valvuloplasty during Third Trimester

Successful Percutaneous Mitral Valve Balloon Valvuloplasty during Third Trimester

Valvoplastia mitral percutânea em paciente gestante guiada apenas pelo ecocardiograma transesofágico

Percutaneous Balloon Mitral Valvotomy in Pregnancy Using the Inoue Balloon Catheter

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