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. 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...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 1998-07, Vol.179 (1), p.270-272
Main Authors: Tio, Imelda, Tewari, Krishnansu, Balderston, Keith D., Milliken, Jeffrey C., Porto, Manuel
Format: Article
Language:English
Subjects:
Abortion, Therapeutic - adverse effects
Acute Disease
Adult
Biological and medical sciences
cardiac surgery
Cardiology. Vascular system
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Emergency Treatment
Female
Gestational Age
Heart
Heart Failure - surgery
Humans
Hypertension, Pulmonary - complications
Medical sciences
Mitral stenosis
Mitral Valve Stenosis - complications
Mitral Valve Stenosis - surgery
Pregnancy
Pregnancy Complications, Cardiovascular
Pregnancy Trimester, Second
Pulmonary Edema - etiology
pulmonary hypertension
Thoracic Surgical Procedures
Twins
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Summary: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.)
ISSN:0002-9378
1097-6868
DOI:10.1016/S0002-9378(98)70288-1