Ohnishi N, Imai A, Kawabata I, Itoh M, Itoh N, Tamaya T
Department of Obstetrics and Gynecology, Gifu University School of Medicine, Japan.
J Med. 1993;24(6):403-8.
In this report, maternal and fetal risks were evaluated in a pregnant patient who had no previously established heart valvular disease. A 41-old-year patient with aortic and mitral regurgitations suffered from progressive congestive heart failure during 20 weeks of gestation. She carried the pregnancy to a successful delivery at 31 weeks. During this time, sudden deterioration in the symptoms occurred, but both the fetal and maternal outcomes were uneventful. This experience of a good outcome may contribute to the future management of pregnancies associated with heart disease.
在本报告中，对一名既往无心脏瓣膜病的孕妇的母婴风险进行了评估。一名41岁患有主动脉瓣和二尖瓣反流的患者在妊娠20周时出现进行性充血性心力衰竭。她将妊娠维持到31周成功分娩。在此期间，症状突然恶化，但母婴结局均平安无事。这一良好结局的经验可能有助于未来对合并心脏病的妊娠进行管理。
