Aortic valvuloplasty with balloon catheter in maternal-fetal emergency in adolescence.
The increase of cardiac output during pregnancy is the cause of heart failure in women with severe aortic valvular stenosis. Percutaneous aortic valvuloplasty has been associated with severe complications and short-term valvar restenosis. This case showed that percutaneous aortic valvuloplasty allowed both mother and fetus to survive after childbirth, and that postpartum treatment interruption resulted in maternal death in late postpartum care.
Avila
Walkiria Samuel
WS
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Brasil.
Hajjar
Ludhmila Abrahao
LA
Souza
Tatiana da Rocha E
Tda R
Gomes Junior
Manuel Pereira M
MP
Grinberg
Max
M
Zugaib
Marcelo
M
D000293:Adolescent; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D001024:Aortic Valve Stenosis / Q000601:surgery*; D004630:Emergencies; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010352:Patient Dropouts; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011256:Pregnancy Outcome