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Emergency redo mitral valve replacement and caesarean section in a patient with previous atrioventricular septal defect repair in childhood

^a Department of Cardiothoracic Surgery, Manchester Royal Infirmary, Manchester, UK
^b Department of Anaesthesiology, Manchester Royal Infirmary, Manchester, UK

*Corresponding author. Tel.: +44 161 9803100; fax: +44 161 2912685.

E-mail address: mohandev{at}hotmail.com (M.P. Devbhandari).

A 19-year-old primigravida, with a history of mechanical mitral prosthesis at the age of six years following previous repair of an atrioventricular septal defect, presented at 26 weeks' gestation with cardiogenic shock secondary to obstruction of the mitral prosthesis. She underwent successful emergency redo mitral valve replacement and caesarean section. At operation the prosthesis was found to be virtually completely obstructed with pannus. Both mother and baby had an excellent outcome following surgery. The case report is presented with a brief review of the literature.

Key Words: Emergency; Caesarean section; Mitral valve replacement; Pregnancy