Closed mitral valvotomy in pregnancy and labor
Aggarwal, N.; Suri, V.; Goyal, A.; Malhotra, S.; Manoj, R.; Dhaliwal, R.S.
International Journal of Gynaecology and Obstetrics the Official Organ of the International Federation of Gynaecology and Obstetrics 88(2): 118-121
2005
ISSN/ISBN: 0020-7292 PMID: 15694085 DOI: 10.1016/j.ijgo.2004.09.012Document Number: 240236
To study the feasibility and benefits of closed mitral valvotomy (CMV) during pregnancy. Prospective study from 2000 through 2003 to study the effect on maternal condition and perinatal outcome of closed mitral valvotomy during pregnancy were evaluated. Eight pregnant women with severe mitral stenosis refractory to medical therapy had closed mitral valvotomy at different stages of pregnancy (one during labor). All patients improved clinically (according to the New York Heart Association classification), and the mitral valve area increased. There was no mortality or major morbidity. Closed mitral valvotomy offers excellent results and is cost effective during pregnancy. It is still the procedure of choice in poor countries when balloon mitral valvotomy (BMV) is not affordable.
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