title: [High risk infective endocarditis embolism during pregnancy: Medical or surgical management?].
abstract: A 22-year-old pregnant woman was seen at 14 weeks of pregnancy for infective endocarditis with a vegetation of 15 mm and wide mobility, which affected the native mitral valve accompanied by severe valvular insufficiency. Antibiotic treatment was given for 4 weeks despite the embolism risk. Due to persistence of vegetation size and after considering the fetal and maternal risk, the surgical procedure was favored. We decided to perform valvuloplasty and removal of lesion at 18 weeks of pregnancy. Fetal protection techniques were used and a bioprosthesis was placed before attempting a repair. The postoperative follow-up was satisfactory, achieving a successful birth by cesarean section at 30 weeks.
authors.affiliation: Clínica de Falla Cardíaca, Fundación Cardiovascular de Colombia, Floridablanca, Santander, Colombia; Departamento de Ecocardiografía, Fundación Cardiovascular de Colombia, Floridablanca, Santander, Colombia. Electronic address: luisedo10@gmail.com.
authors.forename: Luis Eduardo
authors.initials: LE
authors.lastname: Echeverría
authors.forename: Antonio
authors.initials: A
authors.lastname: Figueredo
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Gómez
authors.forename: Leonardo Alberto
authors.initials: LA
authors.lastname: Salazar
authors.forename: Jaime Alberto
authors.initials: JA
authors.lastname: Rodriguez
authors.forename: Camilo Ernesto
authors.initials: CE
authors.lastname: Pizarro
authors.forename: Carlos Eduardo
authors.initials: CE
authors.lastname: Riaño
authors.forename: Addy
authors.initials: A
authors.lastname: Perroni
authors.forename: Alba Lucía
authors.initials: AL
authors.lastname: Cuadros
authors.forename: María Cristina
authors.initials: MC
authors.lastname: Villamizar
authors.forename: Edwin Uriel
authors.initials: EU
authors.lastname: Suárez
mesh_terms: D004617:Embolism / Q000382:microbiology* / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000382:microbiology* / Q000601:surgery*; D011251:Pregnancy Complications, Infectious / Q000628:therapy*; D012307:Risk Factors; D013290:Streptococcal Infections / Q000150:complications* / Q000601:surgery*; D034363:Viridans Streptococci; D055815:Young Adult
keywords: Cardiac surgery; Cardiopulmonary bypass; Circulación extracorpórea; Cirugía cardíaca; Colombia; Embarazo; Endocarditis infecciosa; Infective endocarditis; Pregnancy