Mechanical Mitral Valve Replacement during the 2nd Trimester of Pregnancy | Zendy

Anas Boulemden | Zendy; Gemma Malin | Zendy; Suzanne Wallace | Zendy; Amr Mahmoud | Zendy; William H.T. Smith | Zendy; Adam Szafranek | Zendy

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Mechanical Mitral Valve Replacement during the 2nd Trimester of Pregnancy

Author(s) -

Anas Boulemden,

Gemma Malin,

Suzanne Wallace,

Amr Mahmoud,

William H.T. Smith,

Adam Szafranek

Publication year - 2018

Publication title -

texas heart institute journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.373

H-Index - 53

eISSN - 1526-6702

pISSN - 0730-2347

DOI - 10.14503/thij-16-6144

Subject(s) - medicine , pregnancy , mitral valve replacement , multidisciplinary team , balloon valvuloplasty , second trimester , balloon , stenosis , mitral valve , mitral valve stenosis , surgery , psychological intervention , obstetrics , gestation , cardiology , genetics , nursing , biology , psychiatry

We report the case of a 44-year-old pregnant woman who was diagnosed with symptomatic severe mitral stenosis that did not respond to optimal medical therapy and balloon valvuloplasty. After a multidisciplinary team discussion on the timing and risks of interventions and postoperative optimization of peripartum anticoagulation, the patient underwent mechanical mitral valve replacement during the 2nd trimester of pregnancy. The outcome was excellent for the mother and the infant. This case emphasizes the importance of a multidisciplinary approach in managing unusual cases.

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