title: Heart valve replacement during pregnancy.
abstract: We describe a woman with gestational age of 20 weeks, who was submitted to a complex procedure. She underwent replacement of the biological mitral and aortic valve, both by biological prosthesis, valvuloplasty of the tricuspid valve, as well as thrombectomy of the left atrium. Extracorporeal circulation (ECC) was used during 105 minutes. The patient was discharged from hospital in good health conditions and the newborn remained in the Neonatal Intensive Care Unit (NICU) in a stable state. This is a complex procedure with a high maternal and fetal mortality. Therefore, this is an important case regarding valve abnormalities treatment during pregnancy.
authors.affiliation: Brazilian Society of Cardiovascular Surgery.
authors.forename: Claúdio Ribeiro da
authors.initials: CR
authors.lastname: Cunha
authors.forename: Paulo Cesar
authors.initials: PC
authors.lastname: Santos
authors.forename: Caroline Pastorin
authors.initials: CP
authors.lastname: Castineira
authors.forename: Flávia Souza Fernandes
authors.initials: FS
authors.lastname: Pereira
mesh_terms: D000328:Adult; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001705:Bioprosthesis; D005112:Extracorporeal Circulation; D005260:Female; D005323:Fetal Monitoring; D006325:Heart Atria / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008946:Mitral Valve Stenosis / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011256:Pregnancy Outcome; D012086:Reoperation; D017131:Thrombectomy; D014262:Tricuspid Valve Insufficiency / Q000601:surgery