title: Closed mitral valvotomy in pregnancy and labor.
abstract: OBJECTIVE
  To study the feasibility and benefits of closed mitral valvotomy (CMV) during pregnancy.
  
  
  METHODS
  Prospective study from 2000 through 2003 to study the effect on maternal condition and perinatal outcome of closed mitral valvotomy during pregnancy were evaluated.
  
  
  METHODS
  Eight pregnant women with severe mitral stenosis refractory to medical therapy had closed mitral valvotomy at different stages of pregnancy (one during labor).
  
  
  RESULTS
  All patients improved clinically (according to the New York Heart Association classification), and the mitral valve area increased. There was no mortality or major morbidity.
  
  
  CONCLUSIONS
  Closed mitral valvotomy offers excellent results and is cost effective during pregnancy. It is still the procedure of choice in poor countries when balloon mitral valvotomy (BMV) is not affordable.
authors.affiliation: Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India. chddialysis@glidemail.com
authors.forename: N
authors.initials: N
authors.lastname: Aggarwal
authors.forename: V
authors.initials: V
authors.lastname: Suri
authors.forename: A
authors.initials: A
authors.lastname: Goyal
authors.forename: S
authors.initials: S
authors.lastname: Malhotra
authors.forename: R
authors.initials: R
authors.lastname: Manoj
authors.forename: R S
authors.initials: RS
authors.lastname: Dhaliwal
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000188:drug therapy / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D011446:Prospective Studies