Key result
Second-trimester mechanical MVR results in excellent maternal and infant outcomes in severe MS.
Case Report (n=1)
Mechanical mitral valve replacement can be successfully performed during the second trimester of pregnancy in cases of refractory severe mitral stenosis when managed by a multidisciplinary team.
Supports feasibility of mechanical MVR in refractory second-trimester mitral stenosis; leaves open optimal peripartum anticoagulation and timing strategies.
We report the case of a 44-year-old pregnant woman who was diagnosed with symptomatic severe mitral stenosis that did not respond to optimal medical therapy and balloon valvuloplasty. After a multidisciplinary team discussion on the timing and risks of interventions and postoperative optimization of peripartum anticoagulation, the patient underwent mechanical mitral valve replacement during the 2nd trimester of pregnancy. The outcome was excellent for the mother and the infant. This case emphasizes the importance of a multidisciplinary approach in managing unusual cases.
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Boulemden et al. (2018) conducted a case report in Symptomatic severe mitral stenosis (n=1). Mechanical mitral valve replacement was evaluated on Maternal and infant outcome. Mechanical mitral valve replacement during the 2nd trimester of pregnancy in a 44-year-old woman with severe mitral stenosis resulted in excellent outcomes for both mother and infant.
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