Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Brasil.
Arq Bras Cardiol. 2009 Dec;93(6):e76-9, e89-92.
The increase of cardiac output during pregnancy is the cause of heart failure in women with severe aortic valvular stenosis. Percutaneous aortic valvuloplasty has been associated with severe complications and short-term valvar restenosis. This case showed that percutaneous aortic valvuloplasty allowed both mother and fetus to survive after childbirth, and that postpartum treatment interruption resulted in maternal death in late postpartum care.
妊娠期间心输出量增加是导致严重主动脉瓣狭窄女性心力衰竭的原因。经皮主动脉瓣成形术与严重并发症和短期瓣口再狭窄相关。本例表明,经皮主动脉瓣成形术可使产妇和胎儿在分娩后存活,而产后治疗中断导致产妇在产后晚期死亡。