Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Severe Mitral Stenosis

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FIROUZI ATA; SAMIEI NILOUFAR; Ahmadi Somayyeh; NADERI NASIM; SADEGHIPOUR PARHAM; SANATI HAMID REZA; KASHFI FAHIMEH; SATTARZADEH ROYA; Hantoushzadeh Sedigheh; BAYAT MARYAM; Pourtaghi Sanaz; NASIRI MOHSEN

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Journal: THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER Year:2019 | Volume:14 | Issue:1 Page(s): 12-17

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Title

Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Severe Mitral Stenosis

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Keywords

Heart valve diseases

Mitral valve stenosis

Balloon valvuloplasty

Pregnancy

Abstract

Background: Mitral stenosis tends to worsen during Pregnancy because of the increase in the cardiac output and the heart rate. In nonresponders to medical therapy, percutaneous transluminal mitral commissurotomy (PTMC) may be performed when there is a suitable valvular anatomy. In this study, we aimed to investigate the clinical and fetal outcomes of pregnant women with mitral stenosis who underwent PTMC. Methods: Thirty-one patients undergoing PTMC during Pregnancy were enrolled in this study. The mitral valve area (MVA), the transmitral valve mean gradient (MVMG), and the severity of mitral regurgitation were assessed pre-and postprocedurally by transthoracic and transesophageal echocardiography. The radiation time was measured during the procedure. The patients were followed up during Pregnancy, and the neonates were monitored for weight, height, the head circumference, the birth Apgar score, and the adverse effects of radiation for at least 12 months. Results: PTMC was successfully performed on 29 (93. 5%) patients. No maternal death or pulmonary edema was reported. The mean MVA significantly increased (from 0. 73± 0. 17 cm2 to 1. 28± 0. 24 cm2; P<0. 001), and the mean MVMG significantly decreased (from 19. 62± 5. 91 mmHg to 8. 90± 4. 73 mmHg; P<0. 001) after the procedure. A significant decrease in the systolic pulmonary artery pressure was also detected. Mitral regurgitation did not increase in severity in 16 (51. 6%) patients. There was no significant relationship between the Apgar score, weight, height, and the head circumference at birth and at the radiation time. Conclusion: In our series, PTMC during Pregnancy was a safe and effective procedure. Lowering the radiation time with low frame-count techniques confers a significant decrease in radiation-related complications.

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APA: Copy

FIROUZI, ATA, SAMIEI, NILOUFAR, Ahmadi, Somayyeh, NADERI, NASIM, SADEGHIPOUR, PARHAM, SANATI, HAMID REZA, KASHFI, FAHIMEH, SATTARZADEH, ROYA, Hantoushzadeh, Sedigheh, BAYAT, MARYAM, Pourtaghi, Sanaz, & NASIRI, MOHSEN. (2019). Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Severe Mitral Stenosis. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, 14(1), 12-17. SID. https://sid.ir/paper/302180/en

Vancouver: Copy

FIROUZI ATA, SAMIEI NILOUFAR, Ahmadi Somayyeh, NADERI NASIM, SADEGHIPOUR PARHAM, SANATI HAMID REZA, KASHFI FAHIMEH, SATTARZADEH ROYA, Hantoushzadeh Sedigheh, BAYAT MARYAM, Pourtaghi Sanaz, NASIRI MOHSEN. Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Severe Mitral Stenosis. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER[Internet]. 2019;14(1):12-17. Available from: https://sid.ir/paper/302180/en

IEEE: Copy

ATA FIROUZI, NILOUFAR SAMIEI, Somayyeh Ahmadi, NASIM NADERI, PARHAM SADEGHIPOUR, HAMID REZA SANATI, FAHIMEH KASHFI, ROYA SATTARZADEH, Sedigheh Hantoushzadeh, MARYAM BAYAT, Sanaz Pourtaghi, and MOHSEN NASIRI, “Percutaneous Transluminal Mitral Commissurotomy in Pregnant Women with Severe Mitral Stenosis,” THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, vol. 14, no. 1, pp. 12–17, 2019, [Online]. Available: https://sid.ir/paper/302180/en

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