与风湿性二尖瓣受累不同的罕见后天性二尖瓣狭窄患者妊娠:二尖瓣环错配。

Sezgin Atmaca, Arda Güler, İrem Türkmen, Hasan Şahin, Gamze Babur Güler
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引用次数: 0

摘要

妊娠期妇女先天性和后天性心脏瓣膜疾病的诊断率越来越高。妊娠率升高、孕产妇年龄增大以及糖尿病、高血压和肥胖等并存疾病等因素,都是导致计划怀孕的妇女出现瓣膜性心脏病症状和被发现的重要原因。妊娠会诱发整个母体生理过程中的心血管变化,从而增加了发病和死亡的风险,尤其是对患有瓣膜性心脏病的妇女而言。在本文中,我们介绍了一例 25 岁的患者,她在 9 岁时接受了二尖瓣环成形术,在 20 岁时的随访检查中,超声心动图显示二尖瓣环不匹配。尽管忽视了进一步的随访,但患者还是怀孕了,并在怀孕第 6 周时来我院就诊。她在怀孕第 6 周、第 10 周和第 22 周以及分娩前接受了评估。在恢复复诊后,我们在产后期间启动了干预计划。该病例是成功管理的典范,在顺利度过孕期后,她健康地分娩了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pregnancy in a Rare and Acquired Mitral Stenosis Different from Rheumatic Mitral Involvement: Mitral Ring Mismatch.

There is an increasing incidence of diagnosing both congenital and acquired heart valve diseases in women during pregnancy. Factors such as elevated rates of pregnancy, older maternal age, and coexisting conditions like diabetes, hypertension, and obesity contribute significantly to the symptomatic manifestation and detection of valvular heart diseases in women planning for pregnancy. Pregnancy induces cardiovascular changes across the maternal physiology, posing a heightened risk of morbidity and mortality, especially in women afflicted with valvular heart diseases. In this article, we present a case of a 25-year-old patient who underwent mitral ring annuloplasty surgery at the age of 9. Her echocardiography revealed a mismatch of the mitral ring during a follow-up examination at the age of 20. Despite neglecting further follow-ups, the patient became pregnant and presented to us at the 6th week of pregnancy. She underwent evaluations at the 6th, 10th, and 22nd weeks of pregnancy, as well as before delivery. Following the resumption of follow-up appointments, intervention planning was initiated during the postpartum period. This case exemplifies successful management, resulting in a healthy delivery after navigating through the pregnancy.

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