An ethical dilemma: severe ischaemic mitral regurgitation and acute coronary syndrome in a 49-year-old pregnant woman.

作者信息

Herrey Anna S, Germain Sarah J, Nelson-Piercy Catherine, Kaprielian Raffi R, Bennett Phillip, Punjabi Prakash P, Nihoyannopoulos Petros

机构信息

Department of Cardiology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, Du Cane Road, London, UK.

出版信息

Eur J Echocardiogr. 2010 Mar;11(2):195-7. doi: 10.1093/ejechocard/jep180. Epub 2009 Nov 20.

DOI:10.1093/ejechocard/jep180

PMID:19933288

Abstract

We report the case of a 49-year-old woman who presented with symptomatic severe mitral regurgitation secondary to previous myocardial infarction. During the work-up for surgery, she was found to be pregnant. This report explores the difficulties and ethical dilemmas encountered dealing with the need for urgent valve surgery and coronary revascularization in association with an unplanned, but wanted pregnancy in an older woman.

摘要