Abstract
A case of critical mitral stenosis with severe pulmonary hypertension in a twin pregnancy is presented. On therapeutic evacuation at 15 weeks’ gestation the patient became critically unstable, necessitating emergency open heart surgery with mitral valve replacement. (Am J Obstet Gynecol 1998;179:270-2.)
Highlights
Title Emergency mitral valve replacement in the setting of severe pulmonary hypertension and acute cardiovascular decompensation after evacuation of twins at fifteen weeks' gestation
Patients in whom mitral stenosis has led to the development of secondary pulmonary hypertension are advised to avoid pregnancy because they are especially vulnerable to decreases in right heart preload, which may be rapidly fatal.[1]
We present a patient with severe pulmonary hypertension who underwent an early second-trimester abortion and in whom acute pulmonary edema developed with near cardiovascular collapse
Summary
Title Emergency mitral valve replacement in the setting of severe pulmonary hypertension and acute cardiovascular decompensation after evacuation of twins at fifteen weeks' gestation. Emergency mitral valve replacement in the setting of severe pulmonary hypertension and acute cardiovascular decompensation after evacuation of twins at fifteen weeks’ gestation A case of critical mitral stenosis with severe pulmonary hypertension in a twin pregnancy is presented.
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