PMID- 32448305 OWN - NLM STAT- MEDLINE DCOM- 20201019 LR - 20220414 IS - 1749-8090 (Electronic) IS - 1749-8090 (Linking) VI - 15 IP - 1 DP - 2020 May 24 TI - Diagnosis and treatment of infective endocarditis in pregnancy: a case report. PG - 109 LID - 10.1186/s13019-020-01147-6 [doi] LID - 109 AB - BACKGROUND: Pregnancy with infective endocarditis (IE) is rare, but the fetal and maternal mortality rates of these pregnancies are very high, making IE a serious threat to the safety of pregnant women and their fetuses. Therefore, for pregnant women with recurrent fever, a detailed medical history and physical examination should be performed, echocardiography and blood culture should be carried out as soon as possible, multidisciplinary consultation should be implemented, and a diagnosis and treatment plan should be formulated right away, as this is key to saving the lives of mothers and infants. CASE INTRODUCTION: A 30-year-old pregnant Chinese woman had IE at 26 weeks of gestation. After close monitoring and care until 31 weeks of gestation, she underwent a successful delivery, cardiac surgery, repair of the patent ductus arteriosus (PDA), mitral valvuloplasty (MVP) and removal of the vegetations. The operation was successful, and further follow-up evaluation showed no abnormality. CONCLUSION: For the diagnosis and treatment of IE in pregnancy, it is of great importance to implement an individualized diagnosis and treatment plan in combination with close monitoring by echocardiography and to select the right time for cardiac surgery and termination of pregnancy. FAU - Wang, Jing AU - Wang J AD - Department of Ultrasound, Zhejiang Provincial People's Hospital, People's Hospital of HangZhou Medical College, Hangzhou, 310014, Zhejiang, China. FAU - Wang, Anlong AU - Wang A AD - Department of Radiology, Zhejiang Provincial Integrated Chinese and Western Medicine Hospital, Hangzhou Red Cross Hospital, Hangzhou, China. FAU - Cui, Yong AU - Cui Y AD - Department of Cardiothoracic Surgery, Zhejiang Provincial People's Hospital, People's Hospital of HangZhou Medical College, Hangzhou, China. FAU - Wang, Ceng AU - Wang C AD - Department of Ultrasound, Zhejiang Provincial People's Hospital, People's Hospital of HangZhou Medical College, Hangzhou, 310014, Zhejiang, China. FAU - Zhang, Jian AU - Zhang J AD - Department of Ultrasound, Zhejiang Provincial People's Hospital, People's Hospital of HangZhou Medical College, Hangzhou, 310014, Zhejiang, China. 15158885178@163.com. LA - eng GR - 2017KY020/Zhejiang medical and health science and technology plan/ PT - Case Reports PT - Journal Article DEP - 20200524 PL - England TA - J Cardiothorac Surg JT - Journal of cardiothoracic surgery JID - 101265113 SB - IM MH - Adult MH - Cardiac Surgical Procedures/*methods MH - Echocardiography MH - Endocarditis/*diagnosis/surgery MH - Female MH - Humans MH - Pregnancy MH - Pregnancy Complications, Cardiovascular/*diagnosis/surgery PMC - PMC7245794 OTO - NOTNLM OT - Echocardiography OT - Embolism OT - Endocarditis, bacterial OT - Heart valve diseases OT - Pregnancy complications, cardiovascular OT - Surgery COIS- The authors declare that they have no competing interests. EDAT- 2020/05/26 06:00 MHDA- 2020/10/21 06:00 PMCR- 2020/05/24 CRDT- 2020/05/26 06:00 PHST- 2019/12/01 00:00 [received] PHST- 2020/05/10 00:00 [accepted] PHST- 2020/05/26 06:00 [entrez] PHST- 2020/05/26 06:00 [pubmed] PHST- 2020/10/21 06:00 [medline] PHST- 2020/05/24 00:00 [pmc-release] AID - 10.1186/s13019-020-01147-6 [pii] AID - 1147 [pii] AID - 10.1186/s13019-020-01147-6 [doi] PST - epublish SO - J Cardiothorac Surg. 2020 May 24;15(1):109. doi: 10.1186/s13019-020-01147-6.