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Rheumatic mitral stenosis in a 28-week pregnant woman treated by mitral valvuoplasty guided by low dose of radiation: a case report and brief overview

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Abstract

Rheumatic mitral stenosis is still a pathological condition that affects young patients and is an important cause of mortality. 2017-European Guidelines for the management of valvular heart disease suggest a percutaneous approach with a mitral commissurotomy for the treatment of symptomatic pregnant women. Mitral commissurotomy procedure involves radiation exposure that is incompatible with the pregnancy condition. In our case, we present percutaneous mitral commissurotomy (PMC) to a 28-week pregnant woman with a low-radiation dose and the use of transesophageal echocardiography. The woman presented with a mitral transvalvular mean gradient of 21.6 mmHg and with symptoms non-responsive to medical treatment. PMC was driven by a transesophageal echocardiographic probe. This case demonstrates the feasibility and safety of PMC in a pregnant woman with severe rheumatic mitral stenosis.

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Funding

This study was not supported by any funding.

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Authors and Affiliations

  1. Division of Cardiology, Hospital Universitario Vìrgen de La Arrixaca, Murcia, Spain

    Arturo Cesaro, Iris Garrido Bravo & Eduardo Pinar Bermudez

  2. Division of Cardiology, Department of Medical Translational Science, AORN S.Anna e San Sebastiano, Caserta, University of Campania “Luigi Vanvitelli”, Naples, Italy

    Arturo Cesaro & Paolo Calabrò

Authors
  1. Arturo Cesaro
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  2. Iris Garrido Bravo
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  3. Paolo Calabrò
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  4. Eduardo Pinar Bermudez
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Correspondence to Eduardo Pinar Bermudez.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Cesaro, A., Bravo, I.G., Calabrò, P. et al. Rheumatic mitral stenosis in a 28-week pregnant woman treated by mitral valvuoplasty guided by low dose of radiation: a case report and brief overview. Gen Thorac Cardiovasc Surg 69, 364–366 (2021). https://doi.org/10.1007/s11748-020-01465-5

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  • DOI: https://doi.org/10.1007/s11748-020-01465-5

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