TY - JOUR
T1 - Severe endocarditis and open-heart surgery during pregnancy
AU - Kastelein, Arnoud W.
AU - Oldenburger, Nanne Y.
AU - Van Pampus, Mariëlle G.
AU - Janszen, Erica W.M.
PY - 2016
Y1 - 2016
N2 - A woman aged 36 years G2P1 presented at our outpatient clinic with symptoms of discomfort, dyspnoea and fever at a gestational age of 17 weeks. She was subsequently diagnosed with severe endocarditis with a large vegetation on the mitral valve. She underwent open chest mitral valve surgery while on cardiopulmonary bypass (CPB) within a few days. Such surgical intervention is not only associated with increased maternal risks, but also with severe fetal morbidity and mortality. In such patients, certain perioperative measures can diminish these risks. In this case, mitral valve plasty was successfully performed and no maternal complications occurred. 22 weeks later, she had an at term vaginal delivery of a healthy son.
AB - A woman aged 36 years G2P1 presented at our outpatient clinic with symptoms of discomfort, dyspnoea and fever at a gestational age of 17 weeks. She was subsequently diagnosed with severe endocarditis with a large vegetation on the mitral valve. She underwent open chest mitral valve surgery while on cardiopulmonary bypass (CPB) within a few days. Such surgical intervention is not only associated with increased maternal risks, but also with severe fetal morbidity and mortality. In such patients, certain perioperative measures can diminish these risks. In this case, mitral valve plasty was successfully performed and no maternal complications occurred. 22 weeks later, she had an at term vaginal delivery of a healthy son.
UR - http://www.scopus.com/inward/record.url?scp=84998717563&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/bcr-2016-217510
DO - https://doi.org/10.1136/bcr-2016-217510
M3 - Article
C2 - 27888221
SN - 1757-790X
VL - 2016
JO - BMJ Case Reports
JF - BMJ Case Reports
M1 - e217510
ER -