Closed Mitral Commissurotomy During Pregnancy in East Africa.

Kramer, Robert; Quinn, Reed; Odera, Agneta; Groom, Robert; Boulanger, Nancy; Gunnoe, Eric; White, Russell · Ann Thorac Surg · 2016

case_report · Level V

Where this comes from

Abstract

Cardiac surgeons traveling to East Africa on humanitarian surgical missions treat a large number of people of all ages with rheumatic heart disease. A patient with severe mitral stenosis with pulmonary edema in the second trimester of pregnancy was treated successfully with closed mitral commissurotomy in a hospital in rural Kenya. An operation from the late 1940s may regain prominence more than 70 years later in areas of the world with a high incidence of rheumatic heart disease and limited cardiology and cardiac surgery resources.

Medical subject headings