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  • Title: Closed mitral valvotomy in pregnancy and labor.
    Author: Aggarwal N, Suri V, Goyal A, Malhotra S, Manoj R, Dhaliwal RS.
    Journal: Int J Gynaecol Obstet; 2005 Feb; 88(2):118-21. PubMed ID: 15694085.
    Abstract:
    OBJECTIVE: To study the feasibility and benefits of closed mitral valvotomy (CMV) during pregnancy. DESIGN: Prospective study from 2000 through 2003 to study the effect on maternal condition and perinatal outcome of closed mitral valvotomy during pregnancy were evaluated. METHODS: Eight pregnant women with severe mitral stenosis refractory to medical therapy had closed mitral valvotomy at different stages of pregnancy (one during labor). RESULTS: All patients improved clinically (according to the New York Heart Association classification), and the mitral valve area increased. There was no mortality or major morbidity. CONCLUSION: Closed mitral valvotomy offers excellent results and is cost effective during pregnancy. It is still the procedure of choice in poor countries when balloon mitral valvotomy (BMV) is not affordable.
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