Infective Endocarditis during Pregnancy: Case Report

Nyawo, Brian; Shoaib, Raja Farhat; Evemy, K; Clark, Stephen

doi:10.1532/hsf98.20071119

Cited by 7 publications

(2 citation statements)

References 9 publications

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“…Reported data on mother and foetus mortality rates are variables, with a maternal mortality rate ranging from 22.1% [1] to 33% [2] and a foetal mortality rate ranging from 14.7% [1] to 29% [2]. The incidence of infective endocarditis during pregnancy has been reported to be 0,006% [1], but there is little in the literature on this topic [3][4][5][6]. There are no international guidelines, and management is considered individually, according to gestational age and the general status of the pregnant woman.…”

Section: Introductionmentioning

confidence: 99%

Management of Acute Aortic Infective Endocarditis in Pregnancy

Picichè¹

2013

J. cardiol. ther.

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The reported incidence of infective endocarditis during pregnancy is 0,006% and there are no accepted guidelines. Management is individually based according to gestational age and the status of the mother. A multidisciplinary approach is required. Cardiopulmonary bypass, hypothermia and hyperkalemia may be fatal for the foetus due to vasoconstrictive response of the uteroplacental arteries. Herein, we report a case of successful treatment of acute aortic endocarditis during the second trimester of gestation, with a focus on timing of surgery and technical aspects.

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Section: Introductionmentioning

confidence: 99%

Management of Acute Aortic Infective Endocarditis in Pregnancy

Picichè¹

2013

J. cardiol. ther.

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“…But challenging management includes valve replacement in such a situiation combined with emergency caesarean can save life. 10,11 . Presence of vegetations on the aortic valves in the present case led to giving up of hope even in resuscitating this patient where as the case reported by Nyawo B and collegues impending cardiac collapse made them to proceed with emergency caesarean section and aortic valve replacement which resulted in good outcome 11 .…”

mentioning

confidence: 99%

Maternal Mortality In Aortic Stenosis: Case Report With Review Of Literature

2011

IJGO

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Aortic stenosis is uncommon during pregnancy as most patients with bicuspid valves who develop stenosis do so after the age of 50-60 yrs. Contrary to this majority of pregnant women who develop aortic stenosis have congenital stenotic valves as rheumatic disease most often affects mitral valve first and later aortic and other valves 1. The maternal as well as perinatal mortality are reported to be high,17.4% and 31.6% respectively 2. The management policies vary as the condition is uncommon and there is some evidence that aortic valve replacement during pregnancy results in good maternal and perinatal outcome. Here we report a case severe aortic stenosis which resulted in maternal death due to lack of consensus regarding management.

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