Ali Unzila, Copel Joshua, Friedman Alan
Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, Connecticut 06520-8063, USA.
Am J Perinatol. 2009 Apr;26(4):287-9. doi: 10.1055/s-0028-1103157. Epub 2008 Dec 8.
For women requiring valve replacement surgery, it is unclear which type of valve offers the greatest chance of a healthy pregnancy. This case describes a successful pregnancy outcome following the Ross procedure, which involves replacing the aortic valve with an autologous pulmonary valve. Due to left ventricular outflow tract obstruction, this patient required an aortic valve replacement surgery. She underwent the Ross procedure at age 16 and became pregnant 11 years later. During pregnancy, she was able to avoid the risks of anticoagulation. She underwent an assisted second stage of labor and went on to deliver a healthy infant. This case illustrates that the Ross procedure may be an alternative treatment for aortic valve replacements in women of child-bearing age.
对于需要进行瓣膜置换手术的女性，尚不清楚哪种类型的瓣膜能为健康怀孕提供最大机会。本病例描述了罗斯手术（Ross procedure）后成功的妊娠结局，该手术是用自体肺动脉瓣替换主动脉瓣。由于左心室流出道梗阻，该患者需要进行主动脉瓣置换手术。她16岁时接受了罗斯手术，11年后怀孕。在怀孕期间，她避免了抗凝的风险。她接受了辅助第二产程，随后产下一名健康婴儿。本病例表明，罗斯手术可能是育龄期女性主动脉瓣置换的一种替代治疗方法。
