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Ann Thorac Surg 1999;67:1312-1314
© 1999 The Society of Thoracic Surgeons

Original Articles

Perinatal mitral valve interventions: a report of 10 cases

Cemal Levent Birincioglu, MDa, Seref A. Küçüker, MDa, Elif G. Yapar, MDb, Ülkü Yildiz, MDa, Ahmet T. Ulus, MDa, Birol Yamak, MDa, Salih Fehmi Katircioglu, MDa, Oguz Tasdemir, MDa

a Department of Cardiovascular Surgery, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey
b Department of Obstetrics and Gynecology, Zekai Tahir Burak Women’s Hospital, Ankara, Turkey

Accepted for publication November 4, 1998.

Address reprint requests to Dr Birincioglu, Cardiovascular Surgery Clinic, Türkiye Yüksek Ihtisas Hospital, 06100 Sihhiye, Ankara, Turkey

Background. Rheumatic mitral valve stenosis is still an endemic disease in some parts of the world and may complicate pregnancy and perinatal period. During the 10-year period between January 1988 and December 1997, 10 pregnant women with mitral stenosis were operated on.

Methods. Combined cesarean delivery and closed mitral valvulotomy (CMV) were performed on 6 patients, combined cesarean delivery and Mitral Valve Replacement (MVR) were performed on 1 patient, and 3 patients had CMV during their third trimester.

Results. There was 1 stillbirth. All other patients and delivered babies were healthy. MVR was necessary for mitral restenosis in one patient 5 years after her CMV. Three of the remaining patients had some degree of restenosis but did not require reoperation.

Conclusion. CMV when indicated during pregnancy can be performed with low risk. For symptomatic patients responding to medical therapy, a combined approach of cesarean section and CMV will prevent possible complications that may arise on perinatal period due to hemodynamic fluctuation.






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Copyright © 1999 by The Society of Thoracic Surgeons.