Percutaneous mitral balloon valvuloplasty in pregnant women with mitral stenosis
Tipo
Artigo
Data de publicação
2002
Periódico
Catheterization and Cardiovascular Interventions
Citações (Scopus)
29
Autores
Nercolini D.C.
Da Rocha Loures Bueno R.
Guerios E.E.
Tarastchuk J.C.
Pacheco A.L.
De Andrade P.M.P.
Pereira Da Cunha C.L.
Germiniani H.
Da Rocha Loures Bueno R.
Guerios E.E.
Tarastchuk J.C.
Pacheco A.L.
De Andrade P.M.P.
Pereira Da Cunha C.L.
Germiniani H.
Orientador
Título da Revista
ISSN da Revista
Título de Volume
Membros da banca
Programa
Resumo
Forty-four consecutive pregnant patients with mitral stenosis were submitted to percutaneous mitral valvuloplasty (PMV) over a period of 12 years. The mean age was 28 ± 6 years and the mean gestational age was 23 ± 6 weeks. The mean mitral valve area had a significant increase from 1.17 ± 0.26 to 2.06 ± 0.41 cm2 (P = 0.0000). The mean mitral valve gradient decreased from 16.22 ± 5.55 to 7.94 ± 3.75 mm Hg (P = 0.0001). The procedure was performed successfully in 95% of the patients and there were no major complications. Concerning labor and delivery, we evaluated 37 patients. Thirty patients (81%) reached term and delivered normal infants. Seven patients (18.9%) delivered prematurely, resulting in two fetal death; one patient delivered a stillborn. We concluded that PMV is a safe procedure for the treatment of mitral stenosis in pregnant patients, providing significant symptomatic relief and better clinical conditions for labor and delivery. © 2002 Wiley-Liss, Inc.