| Journal: | Arquivos brasileiros de cardiologia |
| Database: | PERIÓDICA |
| System number: | 000287562 |
| ISSN: | 0066-782X |
| Authors: | Gubolino, Luiz A1 Amaral, Fernando Bragalha, Antoninha M.L. de A Moschini, Ronaldo Silva, Luis Henrique F Kalafe, Amir M |
| Institutions: | 1Hospital dos Fornecedores de Cana de Piracicaba, Instituto do Coracao, Piracicaba, Sao Paulo. Brasil |
| Year: | 1997 |
| Season: | Jul |
| Volumen: | 69 |
| Number: | 1 |
| Pages: | 51-53 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Caso clínico |
| English abstract | We report the case of a 33-year-old woman in the 28th week of pregnancy and with signs of fetal death, admitted to hospital in an emergency due to pulmonary edema secondary to severe mitral valve stenosis. Intensive medical treatment was unsuccessful and the patient was submitted to an emergency percutaneous balloon mitral valvoplasty with prompt clinical improvement. Subsequent clinical deterioration secondary to fetal death was managed by cesarean section resulting in clinical estabilization. The patient was discharged 10 days after admission and at 11 months after the procedure she had mild symptons without drug therapy and echocardiographic signs of mild residual mitral stenosis (mitral valve area: 2,0cm²) |
| Portuguese abstract | Gestante com 33 anos na 28ª semana e sinais de óbito fetal foi admitida em caráter de urgência com quadro de edema pulmonar agudo secundário à estenose mitral grave. Com o insucesso do tratamento medicamentoso intensivo, a paciente foi submetida à valvoplastia mitral percutânea de emergência com melhora imediata. O agravamento subseqüente do quadro, atribuído ao óbito fetal, foi tratado através parto cesáreo com melhora clínica considerável. A paciente teve alta hospitalar no 10º dia, e 11 meses após o procedimento, encontra-se em classe funcional I, sem uso de medicação e com sinais ecocardiográficos de estenose mitral leve (área valvar: 2,0 cm²) |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Sistema cardiovascular, Valvuloplastia, Embarazo, Edema pulmonar, Pulmones |
| Keyword: | Medicine, Cardiovascular system, Surgery, Valvuloplasty, Pregnancy, Pulmonary edema, Lungs |
| Full text: | Texto completo (Ver HTML) |
