Key result
A 30-year-old pregnant woman with infective endocarditis was successfully treated with an emergency cesarean section at 31 weeks followed by cardiac surgery, resulting in maternal and infant survival.
Why the study?
Infective endocarditis in pregnancy is rare but carries very high fetal and maternal mortality rates, posing a serious threat to mothers and fetuses.
Case Report (n=1)
Multidisciplinary management, close echocardiographic monitoring, and appropriately timed delivery followed by cardiac surgery can successfully treat infective endocarditis during pregnancy.
Answers are grounded in this paper and cite their sources.
Prompt IE evaluation is warranted in febrile pregnancy; this case leaves open optimal management strategies.
BACKGROUND: Pregnancy with infective endocarditis (IE) is rare, but the fetal and maternal mortality rates of these pregnancies are very high, making IE a serious threat to the safety of pregnant women and their fetuses. Therefore, for pregnant women with recurrent fever, a detailed medical history and physical examination should be performed, echocardiography and blood culture should be carried out as soon as possible, multidisciplinary consultation should be implemented, and a diagnosis and treatment plan should be formulated right away, as this is key to saving the lives of mothers and infants. CASE INTRODUCTION: A 30-year-old pregnant Chinese woman had IE at 26 weeks of gestation. After close monitoring and care until 31 weeks of gestation, she underwent a successful delivery, cardiac surgery, repair of the patent ductus arteriosus (PDA), mitral valvuloplasty (MVP) and removal of the vegetations. The operation was successful, and further follow-up evaluation showed no abnormality. CONCLUSION: For the diagnosis and treatment of IE in pregnancy, it is of great importance to implement an individualized diagnosis and treatment plan in combination with close monitoring by echocardiography and to select the right time for cardiac surgery and termination of pregnancy.
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Wang et al. (2020) conducted a case report in Infective endocarditis in pregnancy (n=1). Multidisciplinary management including cesarean section and cardiac surgery was evaluated on Maternal and fetal survival and successful treatment. A 30-year-old pregnant woman with infective endocarditis was successfully treated with an emergency cesarean section at 31 weeks followed by cardiac surgery, resulting in maternal and infant survival.
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