Kaoutzanis Christodoulos, Evangelakis Erotokritos, Kokkinos Chrysostomos, Kaoutzanis Gavriel
Department of Cardiovascular and Thoracic Surgery, Nicosia General Hospital, Nicosia, Cyprus.
Gen Thorac Cardiovasc Surg. 2013 May;61(5):296-300. doi: 10.1007/s11748-012-0140-1. Epub 2012 Aug 15.
Infective endocarditis is a rare but serious complication of pregnancy with high maternal and fetal mortality. Surgical intervention is an option when medical therapy fails. We report the case of a 23-year-old female with severe aortic valve regurgitation and hemodynamic compromise related to acute bacterial endocarditis of a congenital bicuspid aortic valve during the 23rd week of pregnancy. She underwent urgent aortic valve replacement and, despite implementation of known fetal-protection strategies, fetal demise occurred.
感染性心内膜炎是一种罕见但严重的妊娠并发症，母婴死亡率很高。当药物治疗失败时，手术干预是一种选择。我们报告一例23岁女性病例，在妊娠第23周时，因先天性二叶式主动脉瓣急性细菌性心内膜炎出现严重主动脉瓣反流和血流动力学障碍。她接受了紧急主动脉瓣置换术，尽管采取了已知的胎儿保护策略，但仍发生了胎儿死亡。
