EMERGENCY PERCUTANEOUS VALVULOTOMY WITH THE INOUE-BALLOON IN SEVERE MITRAL-STENOSIS IN PREGNANCY

Case Report: A 26-year-old pregnant woman (18th week of pregnancy) was admitted to a hospital with right heart failure and pulmonary congest ion. After establishing the diagnosis of mitral stenosis, a first stab ilization could be achieved by medical therapy with digitalis, diureti cs, and beta-blockers. Read-misson was necessary in the 23rd week. Aft er failure of medical treatment the patient was transferred to our cen ter. We decided to perform an emergency mitral valvulotomy with the In oue balloon. Taking care of maximal radiation protection for mother an d fetus doubling of the mitral valve opening area (from 0.6 cm(2) to 1 .3 cm(2)) could be achieved. The pleural effusions and tricuspid regur gitation disappeared. The patient was symptom-free and could be delive red from a male infant on schedule.