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Related Concept Videos

Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...

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Related Experiment Video

Updated: Jun 3, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Mitral valve replacement in a twin pregnancy.

Mehreen Kisat1, Saulat H Fatimi, Lumaan Sheikh

  • 1Medical College, Aga Khan University Hospital, Karachi, Pakistan. neerhem@gmail.com

The Journal of Obstetrics and Gynaecology Research
|March 15, 2011
PubMed
Summary

This case study details the first successful mitral valve replacement (MVR) in an ongoing twin pregnancy. The procedure treated severe mitral stenosis and pulmonary hypertension, leading to a healthy delivery of twins.

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Area of Science:

  • Cardiovascular Surgery
  • Maternal-Fetal Medicine
  • Cardiology

Background:

  • Severe mitral stenosis and pulmonary hypertension pose significant risks during pregnancy.
  • Cardiac surgery during pregnancy is complex, with limited data on twin gestations.
  • Previous reports include MVR after pregnancy termination, not in ongoing twin pregnancies.

Observation:

  • A 35-year-old pregnant patient presented with severe mitral stenosis and pulmonary hypertension.
  • The patient was diagnosed with a twin gestation.
  • Open heart surgery for mitral valve replacement (MVR) was performed during the ongoing pregnancy.

Findings:

  • Successful mitral valve replacement was achieved in a patient with an ongoing twin pregnancy.
  • The patient delivered healthy twins at 33 weeks gestation via cesarean section with good Apgar scores.
  • This represents the first reported case of MVR in an ongoing twin pregnancy with a successful maternal and fetal outcome.

Implications:

  • Open heart surgery, including MVR, can be safely performed in ongoing twin pregnancies.
  • This case expands treatment options for pregnant women with severe valvular heart disease.
  • Successful surgical intervention can lead to favorable outcomes for both mother and twins.