Infective endocarditis of aortic valve during pregnancy: A case report

Abstract Infective endocarditis during pregnancy is uncommon but very serious. A 31-year-old woman in the 36th week of second pregnancy was admitted to a hospital because of fever, weakness, chest pain, painful skin over her right leg and dyspnea. Transthoracic echocardiography showed aortic valve v...

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Bibliographic Details
Published in:International journal of cardiology 2008-05, Vol.126 (1), p.e10-e12
Main Authors: Vincelj, Josip, Sokol, Ivan, Pevec, Damira, Sutlić, Željko
Format: Article
Language:English
Subjects:
Adult
Aortic valve endocarditis
Aortic Valve Insufficiency - diagnosis
Aortic Valve Insufficiency - microbiology
Aortic Valve Insufficiency - surgery
Cardiovascular
Echocardiography
Endocarditis - diagnosis
Endocarditis - microbiology
Endocarditis - surgery
Female
Heart Valve Prosthesis Implantation
Humans
Infant, Newborn
Male
Pregnancy
Pregnancy Complications, Cardiovascular - diagnosis
Pregnancy Complications, Cardiovascular - microbiology
Pregnancy Complications, Cardiovascular - surgery
Pregnancy Complications, Infectious - diagnosis
Pregnancy Complications, Infectious - microbiology
Pregnancy Complications, Infectious - surgery
Urinary Tract Infections - complications
Urinary Tract Infections - microbiology
Urinary Tract Infections - surgery
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Summary:Abstract Infective endocarditis during pregnancy is uncommon but very serious. A 31-year-old woman in the 36th week of second pregnancy was admitted to a hospital because of fever, weakness, chest pain, painful skin over her right leg and dyspnea. Transthoracic echocardiography showed aortic valve vegetation and severe aortic regurgitation. Transesophageal echocardiography revealed a 18 mm × 6 mm mobile vegetation, attached to the right coronary cusp. Emergency cesarean section followed with a delivery of a healthy baby. Cardiopulmonary bypass with subsequent aortic replacement with bioprosthesis was initiated immediately after cesarean section. Early echocardiographic examination and 6 months after surgery revealed normal function of aortic valve bioprosthesis and normal LV function. Clinical recognition and early echocardiographic diagnosis followed urgent simultaneous cesarean section and aortic valve replacement was lifesaving for both mother and fetus.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2006.12.066