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Mitral balloon valvuloplasty during pregnancy in developing countries.

D Uygur1, M S Beksaç

  • 1Department of Obstetrics and Gynecology, School of Medicine, Hacettepe University, 06100 Ankara, Turkey. uygurdc@superonline.com

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|June 1, 2001
PubMed
Summary

Percutaneous balloon valvuloplasty successfully treated severe mitral stenosis in two pregnant women unresponsive to medical therapy. This procedure allowed for uncomplicated pregnancies and vaginal deliveries at term.

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Area of Science:

  • Cardiology
  • Obstetrics
  • Interventional Cardiology

Background:

  • Rheumatic mitral stenosis poses significant risks during pregnancy.
  • Medical management is the first line of treatment for symptomatic mitral stenosis in pregnancy.
  • Interventional procedures may be necessary when medical therapy fails.

Observation:

  • Two pregnant women presented with severe mitral stenosis at 23 and 28 weeks gestation.
  • Both patients failed to respond to conservative medical management.
  • One patient had a history of prior balloon valvuloplasty due to restenosis.

Findings:

  • Percutaneous balloon valvuloplasty was successfully performed during pregnancy in both cases.
  • Both pregnancies proceeded without complications following the intervention.

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  • Both women delivered vaginally at term after discontinuing medication.

    • Implications:

    • Percutaneous balloon valvuloplasty is a safe and effective treatment option for severe mitral stenosis during pregnancy when medical management is insufficient.
    • This minimally invasive approach can improve maternal and fetal outcomes in selected high-risk pregnancies.
    • Further research can explore long-term outcomes and optimal patient selection for this procedure.