妊娠期感染性心内膜炎：决策过程中的问题——病例报告
Infectious endocarditis during pregnancy, problems in the decision-making process: a case report.
作者信息
Vizzardi Enrico, De Cicco Giuseppe, Zanini Gregoriana, D'Aloia Antonio, Faggiano Pompilio, Lo Russo Roberto, Chiari Ermanna, Dei Cas Livio
机构信息
Department of Applied Experimental Medicine, Section of Cardiovascular Disease, Brescia Study University, P.le Spedali Civili,1-Brescia, Italy.
出版信息
Cases J. 2009 Sep 10;2:6537. doi: 10.4076/1757-1626-2-6537.
Infective endocarditis in pregnancy has a low incidence, often being associated with a previous history of rheumatic or congenital heart disease. In most reports the disease tends to run a subacute course and to appear more frequently in the third trimester of pregnancy. We present the case of a 36-year-old woman with large vegetations on the mitral valve due to infective endocarditis detected at the 32(nd) week of her first pregnancy. The difficulties in selecting the appropriate management strategy, particularly optimal time and mode of delivery, optimal time and type of valve surgery, are emphasized.
妊娠期感染性心内膜炎发病率较低，常与风湿性或先天性心脏病病史相关。在大多数报告中，该病往往呈亚急性病程，且在妊娠晚期更常出现。我们报告一例36岁女性，在其首次妊娠32周时因感染性心内膜炎被发现二尖瓣有大量赘生物。文中强调了在选择合适的治疗策略时所面临的困难，尤其是最佳分娩时间和方式、瓣膜手术的最佳时间和类型。
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