Emergency mitral valve replacement in the setting of severe pulmonary hypertension and acute cardiovascular decompensation after evacuation of twins at fifteen weeks' gestation.
A case of critical mitral stenosis with severe pulmonary hypertension in a twin pregnancy is presented. On therapeutic evacuation at 15 weeks' gestation the patient became critically unstable, necessitating emergency open heart surgery with mitral valve replacement.
Department of Obstetrics and Gynecology, University of California, Irvine, Medical Center, Orange 92868, USA.
I
I
Tio
K
K
Tewari
K D
KD
Balderston
J C
JC
Milliken
M
M
Porto
D000032:Abortion, Therapeutic / Q000009:adverse effects*; D000208:Acute Disease; D000328:Adult; D004638:Emergency Treatment; D005260:Female; D005865:Gestational Age; D006333:Heart Failure / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011262:Pregnancy Trimester, Second; D011654:Pulmonary Edema / Q000209:etiology; D019616:Thoracic Surgical Procedures; D014427:Twins