Abstract

Case Studies1 November 1967Valve Replacement During PregnancyJ. WARREN HARTHORNE, M.D., F.A.C.P., MORTIMER J. BUCKLEY, M.D., JOHN W. GROVER, M.D., W. GERALD AUSTEN, M.D.J. WARREN HARTHORNE, M.D., F.A.C.P.Search for more papers by this author, MORTIMER J. BUCKLEY, M.D.Search for more papers by this author, JOHN W. GROVER, M.D.Search for more papers by this author, W. GERALD AUSTEN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-5-1032 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHeart disease remains the single greatest indirect cause of maternal death in the United States. From 1.2 to 3.7% of pregnant women suffer from heart disease in some form; of this number 78 to 95% of cases are rheumatic in origin (1). The purpose of the present report is to describe for the first time the successful insertion of a Starr-Edwards prosthesis during the first trimester of pregnancy in a patient with severe mitral valve disease and the subsequent management of an uneventful pregnancy.CASE REPORTA 35-year-old married woman (M. P.) had suffered rheumatic fever at age 6 and...

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