Abstract
This clinical case report represents our experience of treatment of 36 y. o. pregnant female patient who was previously undergone mitral valve replacement as she was 25. The operation was performed with the use of two leaflet mechanical prosthesis ‘MedEng No. 21’ (Russia). The patient was admitted to our hospital at 29th week of gestation with the signs of heart failure and pulmonary congestion because of prosthetic valve dysfunction. Delivery was performed by Caesarean section followed by mitral valve reprosthetics. In order to stop obstetric bleeding before heparin injection internal iliac arteries was ligated. Total time of extracorporeal circulation was 89 minutes, and myocardial ischemia — 64 minutes. Normothermic perfusion was performed. Mother and newborn were discharged from the hospital in a normal stable state. The childbearing ability of the mother was preserved.
Highlights
Ключевые слова: репротезирование митрального клапана, кесарево сечение, беременность. Summary This clinical case report represents our experience of treatment of 36 y. o. pregnant female patient who was previously undergone mitral valve replacement as she was 25
The operation was performed with the use of two leaflet mechanical prosthesis ‘MedEng No 21’ (Russia)
The patient was admitted to our hospital at 29th week of gestation with the signs of heart failure and pulmonary congestion because of prosthetic valve dysfunction
Summary
Одномоментное родоразрешение путем кесарева сечения и репротезирование митрального клапана у первородящей 36-летней пациентки (клинический случай) Momentary cesarean delivery and mitral valve reprosthetics in 36-year-old primiparous patient (clinical case) Резюме В статье представлен клинический опыт лечения 36-летней беременной первородящей пациентки, ранее, в 25-летнем возрасте, перенесшей протезирование митрального клапана (МК) двухстворчатым механическим протезом «МедИнж No 21» (Россия). Женщина поступила в стационар на 29-й неделе беременности с клиникой декомпенсации сердечной недостаточности — отека легких на фоне дисфункции (паннуса) протеза МК.
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