Key result
Percutaneous balloon valvuloplasty was performed safely without complications in two pregnant patients with severe mitral stenosis, allowing them to discontinue medication and deliver vaginally at term.
Why the study?
Does percutaneous balloon valvuloplasty improve outcomes safely in pregnant patients with severe mitral stenosis refractory to medical therapy?
Case Report (n=2)
Does percutaneous balloon valvuloplasty improve outcomes safely in pregnant patients with severe mitral stenosis refractory to medical therapy?
Percutaneous balloon valvuloplasty appears to be a safe and effective alternative to conventional surgery for pregnant patients with severe, medically refractory mitral stenosis.
Supports consideration of percutaneous balloon valvuloplasty for refractory mitral stenosis in pregnancy; hypothesis-generating and requires larger prospective confirmation.
Although rheumatic diseases are reported to be almost eradicated in the developed countries, they still continue to contribute significantly to maternal mortality in the developing world. Surgical therapies need to be considered for those patients who do not respond satisfactorily to medication. However, valve replacement or valvulotomy during pregnancy carries significant risks for both the mother and the fetus. Two patients with severe mitral stenosis refractory to medical therapy are presented. Both patients were subjected to percutaneous balloon valvuloplasty during pregnancy without any complications. They were able to discontinue medication and deliver vaginally at term. Balloon valvuloplasty appears to be a safe alternative to conventional surgical approaches in pregnancy.
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Önderoğlu et al. (1995) conducted a case report in Severe mitral stenosis (n=2). Percutaneous balloon valvuloplasty was evaluated on Complications and delivery outcome. Percutaneous balloon valvuloplasty was performed safely without complications in two pregnant patients with severe mitral stenosis, allowing them to discontinue medication and deliver vaginally at term.
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