Echeverría Luis Eduardo, Figueredo Antonio, Gómez Juan Carlos, Salazar Leonardo Alberto, Rodriguez Jaime Alberto, Pizarro Camilo Ernesto, Riaño Carlos Eduardo, Perroni Addy, Cuadros Alba Lucía, Villamizar María Cristina, Suárez Edwin Uriel
Clínica de Falla Cardíaca, Fundación Cardiovascular de Colombia, Floridablanca, Santander, Colombia; Departamento de Ecocardiografía, Fundación Cardiovascular de Colombia, Floridablanca, Santander, Colombia.
Arch Cardiol Mex. 2013 Jul-Sep;83(3):209-13. doi: 10.1016/j.acmx.2013.04.012.
A 22-year-old pregnant woman was seen at 14 weeks of pregnancy for infective endocarditis with a vegetation of 15 mm and wide mobility, which affected the native mitral valve accompanied by severe valvular insufficiency. Antibiotic treatment was given for 4 weeks despite the embolism risk. Due to persistence of vegetation size and after considering the fetal and maternal risk, the surgical procedure was favored. We decided to perform valvuloplasty and removal of lesion at 18 weeks of pregnancy. Fetal protection techniques were used and a bioprosthesis was placed before attempting a repair. The postoperative follow-up was satisfactory, achieving a successful birth by cesarean section at 30 weeks.
一名22岁孕妇在孕14周时因感染性心内膜炎就诊，有一个15毫米且活动度大的赘生物，累及自身二尖瓣并伴有严重瓣膜关闭不全。尽管有栓塞风险，仍给予了4周的抗生素治疗。由于赘生物大小持续存在，在考虑胎儿和母亲的风险后，倾向于采取手术治疗。我们决定在孕18周时进行瓣膜成形术并切除病变。采用了胎儿保护技术，并在尝试修复前植入了生物假体。术后随访情况令人满意，在孕30周时通过剖宫产成功分娩。
