Perinatal mitral valve interventions: a report of 10 cases.
BACKGROUND
Rheumatic mitral valve stenosis is still an endemic disease in some parts of the world and may complicate pregnancy and perinatal period. During the 10-year period between January 1988 and December 1997, 10 pregnant women with mitral stenosis were operated on.


METHODS
Combined cesarean delivery and closed mitral valvulotomy (CMV) were performed on 6 patients, combined cesarean delivery and Mitral Valve Replacement (MVR) were performed on 1 patient, and 3 patients had CMV during their third trimester.


RESULTS
There was 1 stillbirth. All other patients and delivered babies were healthy. MVR was necessary for mitral restenosis in one patient 5 years after her CMV. Three of the remaining patients had some degree of restenosis but did not require reoperation.


CONCLUSIONS
CMV when indicated during pregnancy can be performed with low risk. For symptomatic patients responding to medical therapy, a combined approach of cesarean section and CMV will prevent possible complications that may arise on perinatal period due to hemodynamic fluctuation.
Birincioglu
C L
CL
Department of Cardiovascular Surgery, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey.
Küçüker
S A
SA
Yapar
E G
EG
Yildiz
U
U
Ulus
A T
AT
Yamak
B
B
Katircioglu
S F
SF
Tasdemir
O
O
D000328:Adult; D006348:Cardiac Surgical Procedures; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008946:Mitral Valve Stenosis / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D012214:Rheumatic Heart Disease / Q000601:surgery*