医学
心脏病学
狭窄
二尖瓣反流
内科学
二尖瓣
反流(循环)
二尖瓣置换术
主动脉瓣
外科
作者
Mark Johnson,Nicholas James Damianopoulos,Felicity Lee,Gerald Yong
出处
期刊:Case Reports
[BMJ]
日期:2021-11-01
卷期号:14 (11): e244270-e244270
被引量:2
标识
DOI:10.1136/bcr-2021-244270
摘要
A 32-year-old, 11-week pregnant African woman with known rheumatic heart disease presented to the emergency department with worsening shortness of breath on exertion. She had undergone a double bioprosthetic valve replacement and left atrial appendage resection 8 years prior for severe mitral stenosis, moderate mitral regurgitation and moderate aortic regurgitation. A transo-oesophageal echocardiography at this presentation confirmed a morphologically calcified and stenosed mitral bioprosthesis, with moderate stenosis of her aortic bioprosthesis. Her multidisciplinary team, including cardiologists, cardiothoracic surgeons and obstetricians, came to a consensus decision to proceed with a transseptal transcatheter valve implantation within the mitral valve prosthesis (valve-in-valve implantation). Transthoracic echocardiography performed 2 months post procedure showed satisfactory mitral valve gradients and at 30 weeks' gestation, she successfully delivered her fifth child. 2 years later, the valve in valve complex is still functioning well.
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