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.
Tio
I
I
Department of Obstetrics and Gynecology, University of California, Irvine, Medical Center, Orange 92868, USA.
Tewari
K
K
Balderston
K D
KD
Milliken
J C
JC
Porto
M
M
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