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- W1969911551 abstract "Objectives: Cardiac disease is seen in 1-2% of all pregnancies and mitral valve stenosis is the most common valvular problem. Percutaneous balloon valvuloplasty and closed mitral valvulotomies are the first choices in pregnancy because of the increasing maternal and foetal morbidity and mortality rates related to the effects of cardiopulmonary bypass (CPB). As open mitral valvulotomy or mitral valve replacement (MVR) is performed more commonly, a case of an emergency redo MVR due to the malfunction of a mechanical valve thrombosis in pregnancy is rare. Methods: A 33-year-old pregnant patient, in her 33rd gestational week who had undergone MVR two years previously, was admitted to our hospital. She was in pulmonary oedema and seemed to have an insufficient and disorganized enoxaparin sodium therapy. Transoesophageal echocardiography revealed a big obstructive thrombus attached to the prosthetic mitral valve, restricting the movement of one of the leaflets. Mean prosthetic transvalvular mitral gradient was 24 mmHg. Results: Caesarean section was previously performed via general anaesthesia. A 1540 g baby was delivered with an Apgar score of 9. There were no problems with the haemostasis so the Caesarean section wound was closed rapidly. Tissue adherent to the heart was dissected as quickly and meticulously as possible after resternotomy. CPB was instituted after full heparinization. Redo MVR was performed with a mitral bioprosthetic valve (29 mm St Jude). The patient and her baby were discharged on the 12th day. Conclusions: Emergency Caesarean section and redo MVR can be performed safely after a proper and meticulous preparation for this combined procedure." @default.
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- W1969911551 date "2013-09-18" @default.
- W1969911551 modified "2023-10-18" @default.
- W1969911551 title "192-I * EMERGENCY REDO MITRAL VALVE REPLACEMENT IMMEDIATELY AFTER CAESAREAN SECTION" @default.
- W1969911551 doi "https://doi.org/10.1093/icvts/ivt372.192" @default.
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