Managing asymptomatic severe rheumatic mitral stenosis in pregnancy: a case report.

ABSTRACT:

Background

Rheumatic heart disease (RHD) is a disease of disparity most prevalent in developing countries and among immigrant populations. Mitral stenosis (MS) is a common sequalae of RHD and affects females disproportionately more than males. Rheumatic MS remains a significant management challenge as severe MS is usually poorly tolerated in pregnancy due to haemodynamic changes and increased cardiovascular demands of progressing pregnancy. Pregnancy remains contraindicated in current management guidelines based on expert consensus, due to a paucity of evidence-based literature.

Case summary

A 28-year-old aboriginal woman with known severe MS was found to be pregnant during routine health review, despite contraceptive efforts. Echocardiography demonstrated mean mitral valve

SUBMITTER: Eng-Frost J 

PROVIDER: S-EPMC7930898 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature