Valvoplastia mitral percutânea em paciente gestante guiada apenas pelo ecocardiograma transesofágico

Mangione, José Armando; Cristóvão, Salvador André Bavaresco; Maior, Gustavo Ithamar Souto; Abensur, Henry

doi:10.1590/s0066-782x2007000300025

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2021

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“…2 As to its effects on the fetus, mitral stenosis may cause intrauterine growth restriction and higher incidence of preterm and low-birth weight neonates. 3 Since drug treatment is ineffective in severe cases, the valve dysfunction needs to be repaired. 1 However, in cardiac surgeries performed during pregnancy, maternal mortality ranges from 8.6% to 13.3%, whereas fetal mortality can reach up to 33.3%.…”

Section: Introductionmentioning

confidence: 99%

Transapical valvuloplasty for correction of severe mitral stenosis with arrhythmic repercussion in a pregnant woman: case report

Bodanese¹,

Borba²,

Júnior³

2021

J Transcat Intervent

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This report describes a therapeutic alternative for correction of severe mitral stenosis causing high-response atrial fibrillation, and consequent syncope in a woman at 8 weeks gestational age. A percutaneous valvuloplasty attempt failed, because the transseptal puncture was not possible, and a definitive resolution was achieved by transapical valvuloplasty, via left thoracotomy through an inframammary incision, with direct access to the mitral valve. Since this was an original and complex procedure, this case is of relevant importance in the treatment of severe mitral stenosis in patients whose conditions render a conventional procedure impossible.

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Section: Introductionmentioning

confidence: 99%