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Case Reports
. 2024 Oct 16;29(20):102622.
doi: 10.1016/j.jaccas.2024.102622.

Successful Percutaneous Mitral Balloon Commissurotomy in a Pregnant Patient With Symptomatic Severe Rheumatic Mitral Stenosis

Shakeela Naz  1 , Samir Rehman  1 , Wajid Hussain  1 , Abdul Hakeem  1 , Sabha Bhatti  1
Affiliations
Case Reports

Successful Percutaneous Mitral Balloon Commissurotomy in a Pregnant Patient With Symptomatic Severe Rheumatic Mitral Stenosis

Shakeela Naz et al. JACC Case Rep. .

Abstract

This paper presents a case of a pregnant woman diagnosed with severe rheumatic mitral stenosis and pulmonary hypertension at 22 weeks. Using multimodality imaging and a multidisciplinary approach, prompt percutaneous mitral balloon commissurotomy resulted in symptom relief and a pulmonary artery pressure reduction of more than 50%.

Keywords: percutaneous mitral balloon commissurotomy; pregnancy; pulmonary hypertension; rheumatic mitral stenosis.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
2-Dimensional Transthoracic Echocardiography Parasternal long axis view showing diastolic doming of the anterior mitral leaflet with both leaflets thickened.
Figure 2
Figure 2
Short-Axis View at the Mitral Valve Level Showing Planimetry of the Mitral Valve Area
Figure 3
Figure 3
Prepercutaneous Mitral Balloon Commissurotomy Mitral Valve Area by Pressure Half-Time
Figure 4
Figure 4
Continuous-Wave Doppler Across the Mitral Valve Showing Increased Gradients
Figure 5
Figure 5
Continuous-Wave Doppler Across Tricuspid Valve Showing Increased Peak Gradient
Figure 6
Figure 6
Decreased Gradients Across the Mitral Valve Postpercutaneous Mitral Balloon Commissurotomy
Figure 7
Figure 7
Increased Mitral Valve Area Postpercutaneous Mitral Balloon Commissurotomy
Figure 8
Figure 8
Decreased Pulmonary Artery Systolic Pressure Postpercutaneous Mitral Balloon Commissurotomy
Figure 9
Figure 9
Pre- and Post-Procedure Echocardiographic Parameters Pre (A1, B1, C1, D1) and post (A2, B2, C2, D2) procedure echocardiographic parameters demonstrating good percutaneous mitral balloon commissurotomy outcome.
See this image and copyright information in PMC

References

    1. Vinayakumar D., Vinod G.V., Madhavan S., et al. Maternal and fetal outcomes in pregnant women undergoing balloon mitral valvotomy for rheumatic mitral stenosis. Indian Heart J. 2016;68(6):780–782. - PMC - PubMed
    1. Modak S.D., Kane D.G. Conscious sedation for balloon mitral valvotomy: a comparison of fentanyl versus sufentanil. Ann Card Anaesth. 2017;20(2):163–168. - PMC - PubMed
    1. Cohen D.J., Kuntz R.E., Gordon S.P., et al. Predictors of long-term outcome after percutaneous balloon mitral valvuloplasty. N Engl J Med. 1992;327(19):1329–1335. - PubMed
    1. Korkmaz S., Demirkan B., Güray Y., et al. Acute and long-term follow-up results of percutaneous mitral balloon valvuloplasty: a single-center study. Anadolu Kardiyol Derg. 2011;11(6):515–520. - PubMed
    1. Rmilah A.A., Tahboub M.A., Alkurashi A.K., et al. Efficacy and safety of percutaneous mitral balloon valvotomy in patients with mitral stenosis: a systematic review and meta-analysis. Int J Cardiol Heart Vasc. 2021;33 - PMC - PubMed

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