Successful twin pregnancy after valve replacement in second trimester due to maternal infective endocarditis
10.3760/cma.j.issn.1007-9408.2018.09.008
- VernacularTitle:双胎妊娠中期合并感染性心内膜炎瓣膜置换术后成功分娩一例
- Author:
Jing LI
1
;
Weiwei FENG
;
Xinhua CHEN
;
Zhaokui WANG
;
Yan LIU
Author Information
1. 200025,上海交通大学医学院附属瑞金医院妇产科
- Keywords:
Pregnancy,twin;
Pregnancy trimester;
second;
Pregnancy complications,infectious;
Endocarditis;
Heart valve prosthesis implantation;
Parturition
- From:
Chinese Journal of Perinatal Medicine
2018;21(9):615-618
- CountryChina
- Language:Chinese
-
Abstract:
We reported a case of infectious endocarditis in second trimester of a twin pregnancy. The patient was admitted for "recurrent fever for 5 weeks and left limb hemiplegia for 2 weeks" at 27+2 gestational weeks and underwent aortic biovalve replacement and periaortic valve abscess isolation. Warfarin was given to anticoagulant after operation. The pregnancy was terminated by cesarean section at 35+2 gestational weeks. She and her infants recovered after operation. Clinical manifestations of gestational infectious endocarditis are insidious. Diagnosis promptly and treatment by multidisciplinary collaboration is indispensable.
