Key result
Emergency mitral valve repair and a 4-week course of antibiotics led to successful recovery in a 37-year-old pregnant patient with acute infective endocarditis.
Case Report (n=1)
Prompt diagnosis and emergency mitral valve repair can lead to successful recovery in pregnant patients presenting with acute infective endocarditis.
Supports considering emergency repair in select pregnant IE cases; leaves open generalizability and fetal outcomes.
A 37-year-old pregnant patient presented with symptoms of shortness of breath, cough and malaise at 36 weeks' gestation. Antibiotics were started because of suspected bilateral pneumonia. A lower segment caesarean section was undertaken and significant desaturation lead to intubation of the patient. A CTPA confirmed bilateral pneumonia but also elements of heart failure with a 32 mm dilated pulmonary artery. Severe mitral regurgitation was confirmed with trans-thoracic and trans-oesophageal echocardiogram on Day 5 and emergency mitral valve repair was undertaken for possible infective endocarditis (IE) as per the modified Duke criteria, which was confirmed intra-operatively. The patient completed 4 weeks of antibiotics and suffered mild memory impairment post-operatively. She was discharged from complex rehabilitation after 6 weeks of hospital stay at her baseline state. This case presents IE in a pregnant patient with no significant risk factors with successful recovery because of prompt diagnosis and management.
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Ravishankar et al. (2023) conducted a case report in Acute infective endocarditis (n=1). Emergency mitral valve repair and antibiotics was evaluated on Clinical recovery. Emergency mitral valve repair and a 4-week course of antibiotics led to successful recovery in a 37-year-old pregnant patient with acute infective endocarditis.
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