Abstract
Objectives: Balloon mitral valvuloplasty (BMV) has been performed safely during pregnancy with good results. Reports are few on long-term effects of BMV on childhood development. Methods: BMV was performed in 40 pregnant women (age 23.4±4.8 years) with severe mitral stenosis at 24.2±4.6 weeks of gestation. Results: Mitral valve area increased from 0.82±0.34 to 1.9±0.4 cm 2 ( P<0.001). One patient had pericardial tamponade. Mean fluoroscopy time was 5.5±3.8 min. There was no maternal death, no abortion, no intrauterine growth restriction and one stillbirth. All 39 babies were normal at birth. One baby died at 7 months due to pneumonia. On follow up for 36±15 months, all 38 babies maintained normal growth and development without any thyroid disease or malignancy. Conclusions: During pregnancy BMV is feasible, safe and effective. Maternal and fetal outcomes are excellent. Growth and milestone of development are not affected.
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More From: International Journal of Gynecology and Obstetrics
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