{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:24:10Z","timestamp":1731043450902,"version":"3.28.0"},"reference-count":15,"publisher":"Texas Heart Institute Journal","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>We report the case of a 44-year-old pregnant woman who was diagnosed with symptomatic severe mitral stenosis that did not respond to optimal medical therapy and balloon valvuloplasty. After a multidisciplinary team discussion on the timing and risks of interventions and postoperative optimization of peripartum anticoagulation, the patient underwent mechanical mitral valve replacement during the 2nd trimester of pregnancy. The outcome was excellent for the mother and the infant. This case emphasizes the importance of a multidisciplinary approach in managing unusual cases.<\/jats:p>","DOI":"10.14503\/thij-16-6144","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T20:24:50Z","timestamp":1519849490000},"page":"31-34","source":"Crossref","is-referenced-by-count":1,"title":["Mechanical Mitral Valve Replacement during the 2nd Trimester of Pregnancy"],"prefix":"10.14503","volume":"45","author":[{"given":"Anas","family":"Boulemden","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma L.","family":"Malin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne V.F.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Mahmoud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William H.T.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam A.","family":"Szafranek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"2","key":"i1526-6702-45-1-31-b1","series-title":"J Am Coll Cardiol","first-page":"223","article-title":"Valvular heart disease and pregnancy part I: native valves","volume":"46","year":"2005","unstructured":"Elkayam\n              U\n            , BitarF.\n          Valvular heart disease and pregnancy part I: native valves. J Am Coll Cardiol2005;46( 2):223\u201330."},{"issue":"24","key":"i1526-6702-45-1-31-b2","series-title":"Eur Heart J","first-page":"3147","article-title":"ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC)","volume":"32","year":"2011","unstructured":"European Society of Gynecology, Association for European Paediatric Cardiology, German Society for Gender Medicine, Regitz-ZagrosekV, Blomstrom LundqvistC, BorghiC, \n          et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J2011;32( 24):3147\u201397."},{"issue":"6","key":"i1526-6702-45-1-31-b3","series-title":"Am J Cardiol","first-page":"812","article-title":"Immediate and long-term follow-up of percutaneous balloon mitral valvuloplasty in pregnant patients with rheumatic mitral stenosis","volume":"98","year":"2006","unstructured":"Esteves\n              CA\n            , MunozJS, BragaS, AndradeJ, MenegheloZ, GomesN, \n          et al. Immediate and long-term follow-up of percutaneous balloon mitral valvuloplasty in pregnant patients with rheumatic mitral stenosis. Am J Cardiol2006;98( 6):812\u20136."},{"issue":"12","key":"i1526-6702-45-1-31-b4","series-title":"Am J Cardiol","first-page":"1504","article-title":"Long-term outcome of patients undergoing balloon mitral valvotomy in pregnancy","volume":"95","year":"2005","unstructured":"Sivadasanpillai\n              H\n            , SrinivasanA, SivasubramoniamS, MahadevanKK, KumarA, TitusT, TharakanJ.\n          Long-term outcome of patients undergoing balloon mitral valvotomy in pregnancy. 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Ann Thorac Surg1996;61( 6):1865\u20139."},{"issue":"5382","key":"i1526-6702-45-1-31-b8","series-title":"Br Med J","first-page":"532","article-title":"Studies of the inferior vena cava in late pregnancy","volume":"1","year":"1964","unstructured":"Kerr\n              MG\n            , ScottDB, SamuelE.\n          Studies of the inferior vena cava in late pregnancy. Br Med J1964;1( 5382):532\u20133."},{"issue":"1","key":"i1526-6702-45-1-31-b9","series-title":"Ann Card Anaesth","first-page":"33","article-title":"Cardiopulmonary bypass in pregnancy","volume":"17","year":"2014","unstructured":"Kapoor\n              MC.\n            \n          \n          Cardiopulmonary bypass in pregnancy. Ann Card Anaesth2014;17( 1):33\u20139."},{"issue":"4","key":"i1526-6702-45-1-31-b10","series-title":"Ann Thorac Surg","first-page":"1191","article-title":"Cardiopulmonary bypass during pregnancy","volume":"91","year":"2011","unstructured":"John\n              AS\n            , GurleyF, SchaffHV, WarnesCA, PhillipsSD, ArendtKW, \n          et al. Cardiopulmonary bypass during pregnancy. Ann Thorac Surg2011;91( 4):1191\u20136."},{"issue":"6","key":"i1526-6702-45-1-31-b11","series-title":"J Thorac Cardiovasc Surg","first-page":"1416","article-title":"Inhibition of the fetal stress response improves cardiac output and gas exchange after fetal cardiac bypass","volume":"107","year":"1994","unstructured":"Fenton\n              KN\n            , HeinemannMK, HickeyPR, KlautzRJ, LiddicoatJR, HanleyFL.\n          Inhibition of the fetal stress response improves cardiac output and gas exchange after fetal cardiac bypass. 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