Author/Authors :
Güler, Adem GATA Military Medical Hospital - Department of Cardiovascular Surgery, Turkey , Şahin, Mehmed A. GATA Military Medical Hospital - Department of Cardiovascular Surgery, Turkey , Küçükarslan, Nezihi GATA Military Medical Hospital - Department of Cardiovascular Surgery, Turkey , Kürklüoğlu, Mustafa GATA Military Medical Hospital - Department of Cardiovascular Surgery, Turkey , Kırılmaz, Ata GATA Haydarpaşa Military Training Hospital - Division of Cardiology, Turkey , Tatar, Harun GATA Military Medical Hospital - Department of Cardiovascular Surgery, Turkey
Abstract :
Incidence of infective endocarditis during pregnancy is reported to be 0.006% (1). Among those patients, 22% have a history of valve disease, and etiology is variable among others (2). A 27-year old female patient in the 14th week of pregnancy began to have palpitations, pain in left shoulder, and became orthopneic. Echocardiogram demonstrated severe mitral stenosis (MS), moderate aortic regurgitation (AR) and mild aortic stenosis. Two days after her admission, she developed dyspnea, tachycardia and refractory hypotension. The repeat echocardiogram revealed echodense structures over the mitral valve, consistent with vegetations. Blood tests were insignificant except elevated leukocyte count (18.6 109/L), high erythrocyte sedimentation rate (72 mm/h).
