PMID- 31020137
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220408
IS  - 2514-2119 (Electronic)
IS  - 2514-2119 (Linking)
VI  - 2
IP  - 2
DP  - 2018 Jun
TI  - Successful balloon valvuloplasty of rheumatic mitral valve stenosis in a pregnant 
      patient without fluoroscopy: a case report.
PG  - yty058
LID - 10.1093/ehjcr/yty058 [doi]
LID - yty058
AB  - INTRODUCTION: Rheumatic mitral stenosis (MS) is the most common rheumatic heart 
      disease that complicates pregnancy. Percutaneous transvenous mitral 
      commissurotomy (PTMC) has become the first-choice treatment, but is routinely 
      performed with fluoroscopic guidance, which bears risks from ionizing radiation 
      for the embryo when performed in pregnant patients. CASE PRESENTATION: A pregnant 
      patient was referred to our department for therapy of severe MS after she 
      suffered from cerebral artery infarction. The patient underwent successful PTMC 
      under exclusive echocardiographic imaging and showed stable results throughout 
      the pregnancy. The patient showed an improvement in functional capacity from 
      dyspnoea New York Heart Association (NYHA) III to I and delivered a healthy child 
      without any complications. DISCUSSION: This case shows that PTMC of MS under 
      exclusive echocardiography guidance without fluoroscopy is feasible and appears 
      to be safe without causing radiation damage to the embryo.
FAU - Ubben, Timm
AU  - Ubben T
AD  - Department of Cardiology, Asklepios Klinik St. Georg, Lohmuehlenstr. 7, Hamburg, 
      Germany.
FAU - Frerker, Christian
AU  - Frerker C
AD  - Department of Cardiology, Asklepios Klinik St. Georg, Lohmuehlenstr. 7, Hamburg, 
      Germany.
FAU - Kuck, Karl-Heinz
AU  - Kuck KH
AD  - Department of Cardiology, Asklepios Klinik St. Georg, Lohmuehlenstr. 7, Hamburg, 
      Germany.
FAU - Schmidt, Tobias
AU  - Schmidt T
AD  - Department of Cardiology, Asklepios Klinik St. Georg, Lohmuehlenstr. 7, Hamburg, 
      Germany.
LA  - eng
PT  - Case Reports
DEP - 20180516
PL  - England
TA  - Eur Heart J Case Rep
JT  - European heart journal. Case reports
JID - 101730741
PMC - PMC6177101
OTO - NOTNLM
OT  - Case report
OT  - PTMC
OT  - Pregnancy
OT  - Rheumatic mitral stenosis
OT  - Valvuloplasty
EDAT- 2019/04/26 06:00
MHDA- 2019/04/26 06:01
PMCR- 2018/05/16
CRDT- 2019/04/26 06:00
PHST- 2017/10/04 00:00 [received]
PHST- 2018/05/03 00:00 [accepted]
PHST- 2019/04/26 06:00 [entrez]
PHST- 2019/04/26 06:00 [pubmed]
PHST- 2019/04/26 06:01 [medline]
PHST- 2018/05/16 00:00 [pmc-release]
AID - yty058 [pii]
AID - 10.1093/ehjcr/yty058 [doi]
PST - epublish
SO  - Eur Heart J Case Rep. 2018 May 16;2(2):yty058. doi: 10.1093/ehjcr/yty058. 
      eCollection 2018 Jun.