[A case report of successful mitral valve replacement for infective endocarditis during pregnancy].
Infective endocarditis is an important but uncommon complication in obstetric or gynecologic practice. A 32 weeks' pregnant woman exhibited endocarditis due to Streptococcus oralis. The present case was successfully managed by means of aggressive antibiotic and diuretic treatments appropriate for endocarditis. The patient entered spontaneous labor at the estimated date of confinement and delivered of healthy 2.8 kg boy. After four weeks later scheduled mitral valve replacement with SJM valve was performed at the chronic stage of endocarditis. Her postoperative recovery was uneventful and she was discharged 40 days after the operation.
Hamamatsu Rousai Hospital, Japan.
A
A
Iwakura
K
K
Kusuhara
S
S
Shiraishi
H
H
Ono
D000328:Adult; D004697:Endocarditis, Bacterial / Q000188:drug therapy* / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007743:Labor, Obstetric; D008943:Mitral Valve / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011263:Pregnancy Trimester, Third; D013290:Streptococcal Infections / Q000188:drug therapy* / Q000601:surgery; D019533:Streptococcus oralis