An ethical dilemma: severe ischaemic mitral regurgitation and acute coronary syndrome in a 49-year-old pregnant woman.
We report the case of a 49-year-old woman who presented with symptomatic severe mitral regurgitation secondary to previous myocardial infarction. During the work-up for surgery, she was found to be pregnant. This report explores the difficulties and ethical dilemmas encountered dealing with the need for urgent valve surgery and coronary revascularization in association with an unplanned, but wanted pregnancy in an older woman.
Herrey
Anna S
AS
Department of Cardiology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, Du Cane Road, London, UK. anna.john@doctors.org.uk
Germain
Sarah J
SJ
Nelson-Piercy
Catherine
C
Kaprielian
Raffi R
RR
Bennett
Phillip
P
Punjabi
Prakash P
PP
Nihoyannopoulos
Petros
P
D000032:Abortion, Therapeutic; D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary; D004452:Echocardiography; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000628:therapy; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging* / Q000628:therapy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications
D010975:Platelet Aggregation Inhibitors