Vincelj, Josip and Sokol, Ivan and Pevec, Damira and Sutlić, Željko
Infective endocarditis of aortic valve during pregnancy: A case report.
International Journal of Cardiology, 126 (1).
ISSN 0167-5273 (Print) 1874-1754 (Electronic)
Infective endocarditis during pregnancy is uncommon but very serious. A 31-year-old woman in the 36th week of second pregnancy was admitted to a hospital because of fever, weakness, chest pain, painful skin over her right leg and dyspnea. Transthoracic echocardiography showed aortic valve vegetation and severe aortic regurgitation. Transesophageal echocardiography revealed a 18 mm × 6 mm mobile vegetation, attached to the right coronary cusp. Emergency cesarean section followed with a delivery of a healthy baby. Cardiopulmonary bypass with subsequent aortic replacement with bioprosthesis was initiated immediately after cesarean section. Early echocardiographic examination and 6 months after surgery revealed normal function of aortic valve bioprosthesis and normal LV function. Clinical recognition and early echocardiographic diagnosis followed urgent simultaneous cesarean section and aortic valve replacement was lifesaving for both mother and fetus.
||Aortic Valve Insufficiency - diagnosis - microbiology - surgery ; Endocarditis - diagnosis - microbiology - surgery ; Pregnancy Complications, Cardiovascular - diagnosis - microbiology - surgery ; Pregnancy Complications, Infectious - diagnosis - microbiology - surgery ; Adult ; Female ; Heart Valve Prosthesis Implantation ; Humans ; Infant, Newborn ; Male ; Pregnancy ; Urinary Tract Infections - complications - microbiology - surgery
||Katedra za kirurgiju
||7 May 2007
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