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CASE REPORT
Severe endocarditis and open-heart surgery during pregnancy
  1. Arnoud W Kastelein1,
  2. Nanne Y Oldenburger2,
  3. Mariëlle G van Pampus1,
  4. Erica W M Janszen1
  1. 1Department of Obstetrics and Gynaecology, Onze Lieve Vrouwe Gasthuis locatie Oost, Amsterdam, The Netherlands
  2. 2Department of Cardiothoracic Surgery, Onze Lieve Vrouwe Gasthuis locatie Oost, Amsterdam, The Netherlands
  1. Correspondence to Dr Arnoud W Kastelein, a.w.kastelein{at}amc.nl

Summary

A woman aged 36 years G2P1 presented at our outpatient clinic with symptoms of discomfort, dyspnoea and fever at a gestational age of 17 weeks. She was subsequently diagnosed with severe endocarditis with a large vegetation on the mitral valve. She underwent open chest mitral valve surgery while on cardiopulmonary bypass (CPB) within a few days. Such surgical intervention is not only associated with increased maternal risks, but also with severe fetal morbidity and mortality. In such patients, certain perioperative measures can diminish these risks. In this case, mitral valve plasty was successfully performed and no maternal complications occurred. 22 weeks later, she had an at term vaginal delivery of a healthy son.

https://doi.org/10.1136/bcr-2016-217510

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    Footnotes

    • Contributors All authors have made a significant contribution to the manuscript. They have read and approved the final version. AWK contributed to patient care, conducting manuscript (gynaecology), reporting, conception and design. NYO contributed to patient care and conducting manuscript (surgery). MGvP contributed to analysis of data, revising and supervision. EWMJ contributed to analysis of data, revising and supervision.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.