BALLOON VALVULOPLASTY DURING PREGNANCY

Although rheumatic diseases are reported to be almost eradicated in th e developed countries, they still continue to contribute significantly to maternal mortality in the developing world. Surgical therapies nee d to be considered for those patients who do not respond satisfactoril y to medication. However, valve replacement or valvulotomy during preg nancy carries significant risks for both the mother and the fetus. Two patients with severe mitral stenosis refractory to medical therapy ar e presented. Both patients were subjected to percutaneous balloon valv uloplasty during pregnancy without any complications. They were able t o discontinue medication and deliver vaginally at term. Balloon valvul oplasty appears to be a safe alternative to conventional surgical appr oaches in pregnancy.