二尖瓣人工瓣膜置换手术对生长受限胎儿结局的影响。病例报告。

Effect of mitral valve prosthetic surgery on the outcome of a growth-retarded fetus. A case report.

作者信息

Izquierdo L A, Kushnir O, Knieriem K, Wernley J A, Curet L B

机构信息

Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque 87131.

出版信息

Am J Obstet Gynecol. 1990 Aug;163(2):584-6. doi: 10.1016/0002-9378(90)91202-n.

DOI:10.1016/0002-9378(90)91202-n

PMID:2386145

Abstract

Mitral valve prosthetic surgery was performed at 29 weeks' gestation in a woman who had reoperation for a thrombotic mitral valve prosthesis and pulmonary edema. Concomitant severe preeclampsia was also present. During operation fetal bradycardia developed and the fetus died. Because the findings differ from those previously reported with regard to normal pregnancies, their implications are discussed.

摘要

一名患有血栓形成的二尖瓣人工瓣膜和肺水肿而接受再次手术的女性在妊娠29周时进行了二尖瓣人工瓣膜手术。同时还存在严重的先兆子痫。手术期间出现胎儿心动过缓，胎儿死亡。由于这些发现与先前报道的正常妊娠情况不同，因此对其影响进行了讨论。