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Severe endocarditis and open-heart surgery during pregnancy
Arnoud W Kastelein1, Nanne Y Oldenburger2, Mariëlle G van Pampus1
1Department of Obstetrics and Gynaecology, Onze Lieve Vrouwe Gasthuis locatie Oost, Amsterdam, The Netherlands.
BMJ Case Reports
|November 27, 2016
Summary
A pregnant woman with severe mitral valve endocarditis successfully underwent open-chest surgery for mitral valve repair. This intervention, performed during pregnancy, resulted in a healthy mother and baby, demonstrating effective perioperative management.
Area of Science:
- Cardiology
- Obstetrics
- Cardiac Surgery
Background:
- Endocarditis during pregnancy poses significant risks to both mother and fetus.
- Severe mitral valve disease in pregnancy necessitates urgent intervention.
- Cardiopulmonary bypass (CPB) in pregnant patients requires specialized perioperative care.
Purpose of the Study:
- To report a successful case of mitral valve surgery in a pregnant patient with severe endocarditis.
- To highlight the safety and efficacy of perioperative measures in managing high-risk pregnancies involving cardiac surgery.
Main Methods:
- A 36-year-old pregnant woman (17 weeks gestation) diagnosed with severe mitral valve endocarditis underwent open-chest mitral valve surgery with cardiopulmonary bypass (CPB).
- Perioperative management focused on minimizing risks associated with CPB and cardiac surgery during pregnancy.
Main Results:
- The mitral valve plasty was successfully performed without maternal complications.
- The patient delivered a healthy son at term via vaginal delivery, 22 weeks post-surgery.
Conclusions:
- Mitral valve surgery during pregnancy is feasible and can achieve favorable outcomes with meticulous perioperative care.
- Successful management of severe endocarditis in pregnancy can be achieved through timely surgical intervention and specialized care.
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