Easterling T R, Chadwick H S, Otto C M, Benedetti T J
Department of Obstetrics and Gynecology, University of Washington, Seattle.
Obstet Gynecol. 1988 Jul;72(1):113-8.
Aortic stenosis is uncommon during pregnancy. Five cases are described in which clinical management was facilitated by the use of Doppler echocardiography to assess the severity of disease and pulmonary artery catheterization to manage maternal hemodynamics. Regional anesthesia was used without complication. In patients with severe stenosis, significant morbidity and mortality were experienced when aortic valve replacement was delayed beyond the postpartum period.
主动脉瓣狭窄在孕期并不常见。本文描述了5例病例，其中通过使用多普勒超声心动图评估疾病严重程度以及肺动脉导管插入术来管理母体血流动力学，从而促进了临床管理。使用区域麻醉未出现并发症。对于严重狭窄的患者，若主动脉瓣置换术推迟至产后时期以后，会出现显著的发病率和死亡率。
