Kisat Mehreen, Fatimi Saulat H, Sheikh Lumaan, Samad Khalid
Medical College, Aga Khan University Hospital, Karachi, Pakistan.
J Obstet Gynaecol Res. 2011 Jul;37(7):916-8. doi: 10.1111/j.1447-0756.2010.01429.x. Epub 2011 Mar 13.
A 35-year-old female with twin gestation diagnosed with severe mitral stenosis and pulmonary hypertension was successfully treated with open heart surgery for mitral valve replacement (MVR). She gave birth to twins with good Apgar scores at 33 weeks of gestation by cesarean section. Cardiac surgery in singleton pregnancy has been reported extensively. However, there is only a single reported case of MVR following therapeutic abortion of a twin pregnancy in the second trimester. In contrast, we report the first case of mitral valve replacement for severe mitral stenosis and pulmonary hypertension in an ongoing twin pregnancy with successful outcomes.
一名35岁双胎妊娠女性被诊断为重度二尖瓣狭窄和肺动脉高压，接受了二尖瓣置换术（MVR）的心脏直视手术，治疗成功。她在妊娠33周时剖宫产分娩出Apgar评分良好的双胞胎。单胎妊娠的心脏手术已有广泛报道。然而，仅有一例关于孕中期双胎妊娠治疗性流产后进行二尖瓣置换术的报道。相比之下，我们报告了首例在持续双胎妊娠中因重度二尖瓣狭窄和肺动脉高压进行二尖瓣置换术且取得成功的病例。
