Assuntos
Hipertensão , Cuidados Pré-Operatórios , Adulto , Idoso , Aldosterona/fisiologia , Pressão Sanguínea , Dieta Hipossódica , Feminino , Doenças dos Genitais Femininos/cirurgia , Humanos , Hipertensão/dietoterapia , Hipertensão/tratamento farmacológico , Pessoa de Meia-Idade , Sistema Renina-Angiotensina , Espironolactona/uso terapêuticoAssuntos
Próteses Valvulares Cardíacas , Valva Mitral/cirurgia , Complicações Cardiovasculares na Gravidez , Adulto , Anticoagulantes/uso terapêutico , Estudos de Avaliação como Assunto , Feminino , Humanos , Recém-Nascido , Gravidez , Complicações Cardiovasculares na Gravidez/tratamento farmacológicoRESUMO
PIP: 2 cases of pregnancy in patients (age 38 and 22) with a Starr-Edwards mitral valve prosthesis implanted some years earlier are described. In both cases a malfunction of the prosthesis was suspected, with a serious and permanent risk for the patient; long-exposure radiology was used on 1 of the patients to study the angle formed by the axis of the valve during systole and diastole. 1 patient was prescribed dipyridamol to inhibit platelet adhesion, because it was suspected that the common anticoagulants had caused a previous premature delivery. In this case, delivery was normal, and mother and child were in satisfactory condition. The other patient received anticoagulants, and pregnancy was terminated by caesarean section in the 38th week, for fear of excessive stress during labor; the results were also satisfactory. Despite the successful results obtained in these 2 cases, pregnancy in patients with such cardiovascular conditions is regarded as highly dangerous and should be avoided.^ieng