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Related Experiment Videos

Balloon mitral valvuloplasty during pregnancy.

S N Routray1, T K Mishra, S Swain

  • 1Department of Cardiology, SCB Medical College, Cuttack, Orissa, India. drsnroutray@yahoo.co.in

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|March 31, 2004
PubMed
Summary

Balloon mitral valvuloplasty (BMV) during pregnancy is safe and effective, with excellent maternal and fetal outcomes. Long-term studies show normal growth and development in children born after BMV.

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Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Pediatric Development

Background:

  • Severe mitral stenosis poses risks during pregnancy.
  • Balloon mitral valvuloplasty (BMV) is a treatment option, but long-term childhood development data is limited.

Purpose of the Study:

  • To evaluate the safety and effectiveness of BMV during pregnancy.
  • To assess the long-term growth and developmental outcomes in children born to mothers who underwent BMV.

Main Methods:

  • BMV was performed on 40 pregnant women with severe mitral stenosis.
  • Follow-up included monitoring maternal and fetal well-being, and assessing childhood growth and development for an average of 36 months.

Main Results:

  • BMV significantly increased mitral valve area (0.82 to 1.9 cm²).

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  • Excellent maternal and fetal outcomes were observed, with no maternal deaths or abortions.
  • All surviving infants demonstrated normal growth and development, with no thyroid disease or malignancy.

    • Conclusions:

    • BMV is a feasible, safe, and effective procedure for severe mitral stenosis during pregnancy.
    • Maternal and fetal outcomes are excellent.
    • Childhood growth and developmental milestones are not adversely affected by in-utero BMV.