PDF(Pubmed)
Abstract：
Cardiac interventions during advanced gestation carry a risk of maternal complications including mortality, along with the serious threat to the life of a viable fetus. However, with advancements in anesthesia and surgery techniques, cardiac interventions can be performed successfully during the peripartum period. We report two cases of decompensated severe valvular stenosis in the third trimester. One patient underwent balloon valvuloplasty followed by cesarean delivery. However, the other underwent a cesarean delivery followed by double valve replacement. Favorable maternal and fetal outcomes were achieved through peripartum interventions. Good fetomaternal outcomes can be obtained in women with severe valvular heart disease (VHD) presenting late in pregnancy. The decision for the timing of cardiac intervention in relation to cesarean section (CS) can vary from case-to-case basis.
摘要：
晚期妊娠期间的心脏干预会带来产妇并发症的风险，包括死亡率。以及对存活胎儿生命的严重威胁。然而,随着麻醉和手术技术的进步，在围产期可以成功进行心脏干预。我们报告了2例晚期失代偿性严重瓣膜狭窄。一名患者接受了球囊瓣膜成形术，然后进行剖宫产。然而,另一例接受了剖宫产术,随后进行了双瓣膜置换术.通过围产期干预措施实现了良好的母婴结局。妊娠晚期出现严重心脏瓣膜病（VHD）的女性可以获得良好的胎儿预后。与剖宫产（CS）相关的心脏介入时机的决定可能因具体情况而异。
