Abstract

Introduction: Mitral stenosis (MS) is the most common type of valvular heart disease leading to maternal and neonatal complications. Balloon mitral valvuloplasty (BMV) is considered as a gold standard treatment for severe MS which does not respond to medical therapy. This study reports a case of emergent balloon mitral valvuloplasty during pregnancy.

Case Report: A 35 year-old pregnant woman, G2L1 at 38th weeks of gestation was referred was referred because of dyspnea and orthopnea. Echocardiography revealed Severe MS, Mitral valve area of 0.9 cm and pulmonary artery pressure (PAP): 80 mmHg, ejection fraction (EF): 40%. Urgent BMV was planned. Delivery was carried out 4 hours after BMV without any maternal and neonatal complications.

Conclusion: BMV is a safe and effective procedure for the treatment of severe mitral stenosis in pregnancy, even in emergent situation.

Keywords: Balloon valvuloplasty, mitral valve stenosis, pregnancy.

Graphical Abstract