Key result
C-section followed by AVR and MV repair successfully manages infective endocarditis in pregnancy.
Case Report (n=1)
This case demonstrates the successful management of impending hemodynamic collapse from infective endocarditis during pregnancy via cesarean section followed by immediate valve surgery.
Successful combined cesarean and valve surgery in late-pregnancy IE is feasible; leaves open optimal timing and selection criteria.
A 29-year-old woman was transferred at 31 weeks gestation for management of infective endocarditis (IE). Echocardiography demonstrated vegetations on aortic valve and severe mitral regurgitation. Blood cultures were positive for Streptococcus sanguis. Due to impending hemodynamic collapse, a cesarean section was performed followed by aortic valve replacement and mitral valve repair with a patch of bovine pericardium. At 10-month review, both mother and baby are doing well.
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Nyawo et al. (2007) conducted a case report in Infective endocarditis during pregnancy (n=1). Cesarean section followed by aortic valve replacement and mitral valve repair was evaluated. Cesarean section followed by aortic valve replacement and mitral valve repair successfully managed infective endocarditis in a pregnant woman, with mother and baby doing well at 10 months.
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