Cirug铆a card铆aca por triple lesi贸n valvular y embarazo en gestante a帽osa. Presentaci贸n de un caso cl铆nico y revisi贸n de la literatura m茅dica
- 作者：A. Juá ; rez Azpilcueta ; arjuaz@yahoo.com.mx ; S.E. Tellez Ortiz ; L.P. Islas Domí ; nguez ; M.A. Durá ; n Padilla ; R. Buitró ; n Garcí ; a
- 关键词：Cardiopatí ; a ; Estenosis ; Embarazo ; Insuficiencia
- 刊名：Cl铆nica e Investigaci贸n en Ginecolog铆a y Obstetricia
- 出版年：2012
- 期刊代码：pca89_0210573X
- 类别：med
- 出版时间：May-June, 2012
- 卷：39
- 期：3
- 页码：125-127
- 文件大小：115 K
摘要
We present the case of a 39-year-old woman with inactive rheumatic heart disease and valvular sequelae consisting of mitral stenosis, double aortic lesion with a predominance of stenosis, functional tricuspid insufficiency, and pulmonary hypertension. The patient had New York Heart Association heart failure class IV associated with a 16-week pregnancy and a thrombus in the left atrium.
Treatment consisted of closed mitral commissurotomy and abortion at 20.2 weeks of pregnancy. We provide a review of the literature on valvular surgery during pregnancy, with emphasis on surgical treatment and the possible repercussions to mother and fetus.