AI Article Synopsis
- The study examines the feasibility and benefits of closed mitral valvotomy (CMV) for pregnant women with severe mitral stenosis.
- All eight pregnant women treated with CMV showed clinical improvement and increased mitral valve area, with no deaths or major complications reported.
- The findings suggest that CMV is effective and cost-efficient, particularly in low-resource settings where other procedures like balloon mitral valvotomy are not accessible.
Article Abstract
Objective: To study the feasibility and benefits of closed mitral valvotomy (CMV) during pregnancy.
Design: Prospective study from 2000 through 2003 to study the effect on maternal condition and perinatal outcome of closed mitral valvotomy during pregnancy were evaluated.
Methods: Eight pregnant women with severe mitral stenosis refractory to medical therapy had closed mitral valvotomy at different stages of pregnancy (one during labor).
Results: All patients improved clinically (according to the New York Heart Association classification), and the mitral valve area increased. There was no mortality or major morbidity.
Conclusion: Closed mitral valvotomy offers excellent results and is cost effective during pregnancy. It is still the procedure of choice in poor countries when balloon mitral valvotomy (BMV) is not affordable.
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| http://dx.doi.org/10.1016/j.ijgo.2004.09.012 | DOI Listing |
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