Percutaneous balloon mitral valvuloplasty in a pregnant woman with mitral stenosis, sickle cell crisis and acute pulmonary edema. A case report.
A woman with acute congestive heart failure secondary to mitral stenosis and sickle cell crisis was treated successfully with a combination of an exchange transfusion and percutaneous balloon valvuloplasty. That combination provided an alternative to surgical mitral commissurotomy, with its significant risks for both the mother and fetus. The patient was able to undergo an uncomplicated pregnancy course despite the increased risk of cardiac decompensation in the intrapartum and postpartum period.
Cohen
G R
GR
St. Luke's Perinatal Center, Kansas City, MO 64111.
Kramer
P
P
Thorp
J
J
Yeast
J
J
D000328:Adult; D000755:Anemia, Sickle Cell / Q000628:therapy*; D002404:Catheterization / Q000379:methods; D005078:Exchange Transfusion, Whole Blood / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000628:therapy; D006801:Humans; D008946:Mitral Valve Stenosis / Q000628:therapy*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D011250:Pregnancy Complications, Hematologic / Q000628:therapy*; D011654:Pulmonary Edema / Q000628:therapy*