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Abstract
RÉSUMÉ
Les cardiopathies valvulaires, notamment rhumatismales, représentent la première cause de cardiopathies entraînant des complications pendant la grossesse dans les pays en développement. Nous rapportons le cas d’une patiente de 37 ans, enceinte de 33 semaines, hospitalisée pour souffrance fœtale avec indication à une césarienne. Elle présente un jour plus tard, une détresse respiratoire pour laquelle les examens cliniques et paracliniques révèlent un œdème aigu pulmonaire sur rétrécissement mitral serré d’allure rhumatismale avec indication chirurgicale par remplacement valvulaire mitrale. La patiente n’a pas bénéficié d’intervention chirurgicale indiquée, l’évolution défavorable par décompensation cardiaque a conduit au décès quinze jours après la césarienne.
ABSTRACT
Valvular heart diseases, particularly rheumatic valve disease, are the leading cause of heart disease causing complications in pregnancy in developing countries. We report the case of a 37-year-old multiparous patient, 33 weeks pregnant, hospitalized for foetal distress with indication for an emergency caesarean. One day later, she got into with respiratory distress for which clinical and paraclinical examinations suggested an acute pulmonary oedema on a rheumatic severe mitral stenosis with surgical indication of mitral valve replacement. The patient did not have this surgical intervention and the unfavourable evolution by cardiac decompensation led to death fifteen days after caesarean section.
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References
- Nanna M, Stergiopoulos K. Pregnancy complicated by valvular heart disease: an update. J Am Heart Assoc; 2014;3(3). Available from: https://pubmed.ncbi.nlm.nih.gov/24904015/
- Scirica BM, O’gara PT. Valvular Heart Disease in Pregnancy. Curr Cardiol Rep. 2006;8(2):83–9.
- Soler-Soler J, Galve E. Worldwide perspective of valve disease. Heart. 2000;83(6):721–5.
- Thorne SA. PREGNANCY IN HEART DISEASE. Heart. 2004;90(4):450–6.
- Ashrafi R, Curtis SL. Heart Disease and Pregnancy. Cardiol Ther. Springer Healthcare; 2017;6(2):157–73.
- Siu SC, Sermer M, Colman JM, Alvarez ; A Nanette, Mercier L-A, Morton BC, et al. Prospective Multicenter Study of Pregnancy Outcomes in Women With Heart Disease. Circulation. 2001;104:515–21. Available from: http://www.circulationaha.org
- Abdi S, Ghodsi B, Basiri A, Momtahen M, Firouzi A, Sanati R, et al. Clinical Medicine Insights: Immediate Results of percutaneous Trans-Luminal Mitral commissurotomy in pregnant Women with severe Mitral stenosis. Clin Med Insights Cardiol. 2012;6:35–9.
- Kinda G, Kambiré Y, Thiam/Tall A. Les cardiopathies rhumatismales en milieu pédiatrique à Ouagadougou. Rev Africaine Malgache pour la Rech Sci. 2018;1(226):17–21.
- Sika-paotonu D, Beaton A, Raghu A, Steer A, Carapetis J. Acute Rheumatic Fever and Rheumatic Heart Disease. 2017;1–57.
References
Nanna M, Stergiopoulos K. Pregnancy complicated by valvular heart disease: an update. J Am Heart Assoc; 2014;3(3). Available from: https://pubmed.ncbi.nlm.nih.gov/24904015/
Scirica BM, O’gara PT. Valvular Heart Disease in Pregnancy. Curr Cardiol Rep. 2006;8(2):83–9.
Soler-Soler J, Galve E. Worldwide perspective of valve disease. Heart. 2000;83(6):721–5.
Thorne SA. PREGNANCY IN HEART DISEASE. Heart. 2004;90(4):450–6.
Ashrafi R, Curtis SL. Heart Disease and Pregnancy. Cardiol Ther. Springer Healthcare; 2017;6(2):157–73.
Siu SC, Sermer M, Colman JM, Alvarez ; A Nanette, Mercier L-A, Morton BC, et al. Prospective Multicenter Study of Pregnancy Outcomes in Women With Heart Disease. Circulation. 2001;104:515–21. Available from: http://www.circulationaha.org
Abdi S, Ghodsi B, Basiri A, Momtahen M, Firouzi A, Sanati R, et al. Clinical Medicine Insights: Immediate Results of percutaneous Trans-Luminal Mitral commissurotomy in pregnant Women with severe Mitral stenosis. Clin Med Insights Cardiol. 2012;6:35–9.
Kinda G, Kambiré Y, Thiam/Tall A. Les cardiopathies rhumatismales en milieu pédiatrique à Ouagadougou. Rev Africaine Malgache pour la Rech Sci. 2018;1(226):17–21.
Sika-paotonu D, Beaton A, Raghu A, Steer A, Carapetis J. Acute Rheumatic Fever and Rheumatic Heart Disease. 2017;1–57.