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Published on: February 11, 2022
Closed mitral valvotomy in pregnancy and labor
1Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India. chddialysis@glidemail.com
Objective:
To study the feasibility and benefits of closed mitral valvotomy (CMV) during pregnancy.
Design:
Prospective study from 2000 through 2003 to study the effect on maternal condition and perinatal outcome of closed mitral valvotomy during pregnancy were evaluated.
Methods:
Eight pregnant women with severe mitral stenosis refractory to medical therapy had closed mitral valvotomy at different stages of pregnancy (one during labor).
Results:
All patients improved clinically (according to the New York Heart Association classification), and the mitral valve area increased. There was no mortality or major morbidity.
Conclusion:
Closed mitral valvotomy offers excellent results and is cost effective during pregnancy. It is still the procedure of choice in poor countries when balloon mitral valvotomy (BMV) is not affordable.
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