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[Successful mitral valve replacement for infective endocarditis in pregnancy]
T Souma1, T Yokosawa, T Iwamatsu
1Department of Cardiovascular Surgery, Takeda General Hospital, Aizuwakamatsu, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|June 1, 1990
Summary
A pregnant woman with alpha-streptococcus infective endocarditis underwent cesarean delivery and mitral valve replacement. Successful treatment highlights management of this rare pregnancy complication.
Area of Science:
- Cardiology
- Obstetrics
- Infectious Diseases
Background:
- Infective endocarditis during pregnancy is rare and poses significant risks to both mother and fetus.
- Alpha-streptococcus is a potential causative agent of infective endocarditis.
Observation:
- A 27-week pregnant patient presented with infective endocarditis.
- Echocardiography revealed vegetations on the mitral leaflets.
- Cesarean section was performed at 35 weeks, delivering a healthy infant.
Findings:
- Despite ongoing antibiotic therapy post-cesarean, the patient developed macrohematuria and Osler's nodes.
- Emergency mitral valve replacement was successfully performed while infective endocarditis was active.
- The patient completed a 10-week antibiotic course and was discharged.
Implications:
- This case demonstrates the successful management of infective endocarditis in pregnancy requiring both delivery and cardiac surgery.
- Prompt surgical intervention for mitral valve replacement can be life-saving even in the presence of active infection.
- Multidisciplinary care is crucial for optimizing outcomes in complex obstetric-medical cases.