Percutaneous Balloon Mitral Valvuloplasty in Pregnancy.
10.4070/kcj.1992.22.5.858
- Author:
Young Jun SHIN
;
Won Heum SHIM
;
Young Sup YOON
;
Nam Sik CHUNG
- Publication Type:Case Report
- Keywords:
Percutaneous balloon mitral vavuloplasty;
Pregnancy
- MeSH:
Echocardiography;
Female;
Fetal Mortality;
Heart Failure;
Hemodynamics;
Humans;
Mitral Valve;
Mitral Valve Stenosis;
Pregnancy*;
Pregnant Women
- From:Korean Circulation Journal
1992;22(5):858-862
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Since percutaneous mitral valvuloplasty(PMV) using balloon was introduced by Inoue in 1984, this procedure has been accepted as a new non-surgical therapeutic modality for the treatment of selected patients with mitral stenosis. Pregnant women with mitral stenosis has suffered from life threatening complication due to altered hemodynamic changes and heart failure. Surgical valvotomy has been performed after failure of medical therapy with high risk of fetal mortality and teratogenicity. PMV can be an adequate alternative to surgical valvotomy in pregnant women. METHODS: After precise echocardiographic examination of mitral valve and its surrounding structures including thrombi in left artrium was performed, antegrade transseptal procedure was done in all 3 cases with abdominal shield using Inoue balloon technique. RESULTS: Mitral valve area increased over 1.5cm2 and hemodynamic variables improved immediately after PMV. Symptoms subsided soon after PMV in all 3 cases. Healthy normal babies were delivered transvaginally without difficulties in all 3 patients. CONCLUSIONS: Percutaneous mitral valvuloplasty is a safe and effective therapeuteic alternative to surgical valvotomy in a pregnant women with mitral stenosis who failed medical therapy, in a high risk or symptomatic pregnant women.
