Percutaneous transluminal balloon dilatation of the mitral valve in pregnancy.

Abstract

Though metoprolol slowed her exertional tachycardia, her symptoms remained severe and she

Percutaneous Balloon Mitral Valvotomy in Pregnancy Using the Inoue Balloon Catheter

“…In addition, cardiopulmonary bypass may result in fetal mortality exceeding 30% and may have teratogenic effects on the fetus [8], Experience of PBMV in selected patients with mitral stenosis refractory to medical treatment during pregnancy is gradually emerging. Isolated case reports using conven tional single or double balloon catheters with favourable maternal and fetal outcomes have been described by Safian et al [4] Palacios et al [5] and Smith et al [9], Larger series of patients, again using conventional balloon catheters, have also been reported recently. Five and 13 pregnant women were described by Mangione et al [ 10] and Esteves et al [ 11 ].…”

Emergency Redo Mitral Valve Replacement in a Pregnant Woman at Third Trimester Case Report and Literature Review

“…18,19 Some less invasive interventions have been successful in pregnant women with severe heart disease; for example, percutaneous transluminal balloon dilatation of the native mitral valve stenosis is a safe and effective alternative to mitral surgery in pregnancy. 22 Thrombolytic therapy with streptokinase for prosthetic valve thrombosis during the first trimester in a pregnant woman resulted in the delivery of a normal healthy child at 9 months' gestation. 23 Nevertheless, surgical replacement is still the only effective way of treating xenograft failure.…”

Percutaneous interventions in stenotic valvular heart disease complicating pregnancy

“…With closed mitral commisurotomy the risk of foetal morbidity and mortality is much lower, although a 5-15% risk of foetal death still exists [9]. Open mitral valvotomy is also associated with a high maternal mortality [9,10].…”

“…Since its introduction in 1984 percutaneous transvenous mitral commissurotomy (PTMC) numerous studies have established the efficacy and the safety of this procedure [10][11][12][13]. Over the last few years PTMC has been done in several centres worldwide with excellent short term results in patients with mitral stenosis during pregnancy.…”