Urgent aortic valve replacement for infective endocarditis during the 23rd week of pregnancy.
Infective endocarditis is a rare but serious complication of pregnancy with high maternal and fetal mortality. Surgical intervention is an option when medical therapy fails. We report the case of a 23-year-old female with severe aortic valve regurgitation and hemodynamic compromise related to acute bacterial endocarditis of a congenital bicuspid aortic valve during the 23rd week of pregnancy. She underwent urgent aortic valve replacement and, despite implementation of known fetal-protection strategies, fetal demise occurred.
Department of Cardiovascular and Thoracic Surgery, Nicosia General Hospital, Nicosia, Cyprus. ckaoutzanis@gmail.com
Christodoulos
C
Kaoutzanis
Erotokritos
E
Evangelakis
Chrysostomos
C
Kokkinos
Gavriel
G
Kaoutzanis
D000328:Adult; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000601:surgery*; D013290:Streptococcal Infections / Q000188:drug therapy / Q000601:surgery*; D034366:Streptococcus anginosus / Q000302:isolation & purification; D014463:Ultrasonography; D034363:Viridans Streptococci / Q000302:isolation & purification