Closed mitral commissurotomy during pregnancy in East Africa.
Surgery, Critical Care, Anesthesiology
The Annals of thoracic surgery
Africa, Eastern, Cardiac Surgical Procedures, Female, Humans, Mitral Valve, Mitral Valve Stenosis, Pregnancy, Pregnancy Complications, Cardiovascular, Radiography, Thoracic, Young Adult
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.
Kramer, Robert; Quinn, Reed; Odera, Agneta; Groom, Robert; Boulanger, Nancy; Gunnoe, Eric; and White, Russell, "Closed mitral commissurotomy during pregnancy in East Africa." (2016). Maine Medical Center. 184.