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基于心脏-产科团队管理的重度生物人工主动脉瓣疾病孕妇患者

Cardio-Obstetrics Team-Based Management of a Pregnant Patient With Severe Bioprosthetic Aortic Valve Disease.

作者信息

Bigelow Catherine, Campbell Alex, Poulose Anil, Sannes Heidi, Longtin Cassie, Lynch-Salamon David, Saxena Retu

机构信息

Minnesota Perinatal Physicians, Minneapolis Minnesota, USA.

Allina Health Minneapolis Heart Institute, Minneapolis Minnesota, USA.

出版信息

JACC Case Rep. 2023 Dec 30;29(3):102197. doi: 10.1016/j.jaccas.2023.102197. eCollection 2024 Feb 7.

Abstract

A 38-year-old pregnant patient was managed by the cardio-obstetrics multidisciplinary team for severe degenerative bioprosthetic aortic valve failure. She was medically managed utilizing echocardiogram and brain natriuretic peptide until she demonstrated worsening heart failure. A valve and cardio-obstetrics team evaluation led to valve-in-valve transcatheter aortic valve replacement at 30 weeks' gestation.

摘要

一名38岁的孕妇由心脏妇产科多学科团队负责治疗严重的退行性生物人工主动脉瓣功能衰竭。在她出现心力衰竭恶化之前,一直通过超声心动图和脑钠肽进行药物治疗。瓣膜和心脏妇产科团队评估后,在妊娠30周时为她进行了经导管主动脉瓣置换术(瓣中瓣)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d0f/10865213/1803da8962e6/ga1.jpg

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