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Percutaneous balloon mitral valvuloplasty during a twin gestation
Felice Baron1, Ellen Zottoli, Washington C Hill
1Department of Maternal-Fetal Medicine, Sarasota Memorial Hospital, Fla 34239, USA.
Southern Medical Journal
|March 21, 2002
Summary
Percutaneous balloon mitral valvuloplasty is safe and effective for twin pregnancies. This procedure successfully treated congestive heart failure in a pregnant patient, resulting in two healthy infants.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Interventional Cardiology
Background:
- Percutaneous balloon mitral valvuloplasty (PBMV) is established for singleton pregnancies.
- Limited data exists for PBMV in twin gestations, with one prior report of poor outcome.
Observation:
- A 29-year-old nulliparous patient at 24 weeks' gestation presented with congestive heart failure.
- The patient had undiagnosed mitral stenosis and was carrying twins.
Findings:
- Successful PBMV was performed in the patient with twin gestation.
- The procedure resolved congestive heart failure symptoms.
Implications:
- This case suggests PBMV can be a safe and effective option for managing mitral stenosis in twin pregnancies.
- Successful intervention led to the delivery of two healthy infants at 36 weeks' gestation.