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Balloon valvuloplasty during pregnancy

L Onderoglu1, Z S Tuncer, A Oto

  • 1Department of Obstetrics and Gynecology, Hacettepe University School of Medicine, Ankara, Turkey.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|May 1, 1995
PubMed
Summary

Rheumatic heart disease remains a major cause of maternal death in developing nations. Percutaneous balloon valvuloplasty offers a safe and effective treatment for severe mitral stenosis during pregnancy, avoiding surgical risks.

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Area of Science:

  • Cardiology
  • Obstetrics
  • Rheumatic Diseases

Background:

  • Rheumatic heart disease significantly contributes to maternal mortality in developing countries.
  • Severe mitral stenosis during pregnancy poses risks, with surgical interventions carrying high maternal and fetal complications.
  • Medical therapy may be insufficient for managing severe mitral stenosis in pregnant patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous balloon valvuloplasty for severe mitral stenosis in pregnant patients.
  • To present a minimally invasive alternative to conventional surgical treatment during pregnancy.

Main Methods:

  • Case report of two pregnant patients with severe mitral stenosis refractory to medical management.
  • Percutaneous balloon valvuloplasty was performed during pregnancy for both patients.

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  • Maternal and fetal outcomes, including medication requirements and delivery methods, were monitored.

    • Main Results:

    • Both patients successfully underwent percutaneous balloon valvuloplasty without immediate or delayed complications.
    • Patients were able to discontinue cardiac medications post-procedure.
    • Both patients achieved full-term vaginal delivery.

    Conclusions:

    • Percutaneous balloon valvuloplasty is a safe and effective alternative to surgical treatment for severe mitral stenosis during pregnancy.
    • This minimally invasive approach can improve maternal and fetal outcomes, allowing for medication discontinuation and normal delivery.