J Transcat Intervent.2021;29:eA20200033.
Transapical valvuloplasty for correction of severe mitral stenosis with arrhythmic repercussion in a pregnant woman: case report
Beatriz Carolina Schuta Bodanese
, Ana Clara Gureck Borba
, Valdir Lippi Júnior
, Kátia Sheylla Malta Purim
DOI: 10.31160/JOTCI202129A20200033
ABSTRACT
This report describes a therapeutic alternative for correction of severe mitral stenosis causing high-response atrial fibrillation, and consequent syncope in a woman at 8 weeks gestational age. A percutaneous valvuloplasty attempt failed, because the transseptal puncture was not possible, and a definitive resolution was achieved by transapical valvuloplasty, via left thoracotomy through an inframammary incision, with direct access to the mitral valve. Since this was an original and complex procedure, this case is of relevant importance in the treatment of severe mitral stenosis in patients whose conditions render a conventional procedure impossible.
Keywords: Balloon valvuloplasty; Mitral valve stenosis; Pregnancy
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