Chengode Suresh, Shabadi Rahul Vijaykumar, Rao Ram Narayan, Alkemyani Nasser, Alsabti Hilal
Department of Anaesthesia, Division of Cardiac Anaesthesia, Sultan Qaboos University Hospital, Muscat, Oman.
Department of Surgery, Division of Cardiac Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Ann Card Anaesth. 2018 Apr-Jun;21(2):185-188. doi: 10.4103/aca.ACA_157_17.
Pregnant women with stenotic degeneration of bioprosthetic cardiac valves may require another valve replacement procedure when their symptoms deteriorate with progression of pregnancy, but fetal mortality is higher with cardiac surgery done on cardiopulmonary bypass. Transcatheter valve-in-valve implantation may help to improve the fetal and maternal outcomes in these situations. Double valve-in-valve implantation is rare and has not been reported in a pregnant patient. We report, for the first time, the case of a pregnant woman with stenotic bioprosthetic valves in the mitral and aortic positions, who underwent a successful concomitant, transcatheter, double valve-in-valve implantation through the left ventricular apical route during the second trimester of her precious pregnancy.
生物人工心脏瓣膜狭窄性退变的孕妇，当其症状随妊娠进展而恶化时，可能需要再次进行瓣膜置换手术，但在体外循环下进行心脏手术时胎儿死亡率较高。经导管瓣中瓣植入术可能有助于改善这些情况下的胎儿和母亲结局。双瓣中瓣植入术很少见，尚未在孕妇中报道。我们首次报告了一例在二尖瓣和主动脉瓣位置有生物人工瓣膜狭窄的孕妇病例，她在珍贵妊娠的孕中期通过左心室心尖途径成功进行了经导管双瓣中瓣植入术。
