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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A CASE REPORT OF RHEUMATIC VALVULAR HEART DISEASE IN PREGNANCY
Author
Henry Mayala*, Dellilah Kimambo, Peter Kisenge, Mlawa, Kawajika, Emmanuel Mbando and Hanee Mehboob Mohamed
Email
mayalahenry29@gmail.com
keyword
Rheumatic valvular heart disease, Pregnancy, Mitral stenosis, Aortic regurgitation, DVR-double valve replacement, MS-mitral stenosis.
Abstract
Rheumatic heart disease is the cardiac inflammation and scarring triggered by an autoimmune reaction to infection by group A streptococci. Chronic disease is manifested by valvular fibrosis resulting to Stenosis and/ or insufficiency. At present, 0.2-4% of all pregnancy in western industrialized countries are complicated by cardiovascular diseases, in western world congenital heart disease is the frequent cardiovascular disease present during pregnancy 75-82% while rheumatic valvular heart disease dominate in non-western countries, comprising 56-89% of all cardiovascular disease in pregnancy. In this report we present a 30 year old woman, gravida 3 para 0, at 32 weeks gestational age, admitted at Muhimbili national hospital with presenting complains of difficulty in breathing, easy fatigability and lower limb swelling, EKG was normal, Echo revealed moderate Mitral stenosis and severe aortic regurgitation secondary to rheumatic heart disease with preserved left ventricular systolic function EF=71%. Obstetric USS revealed a viable singleton pregnancy at 32 weeks, cephalic presentation. Thus it was concluded that due to challenges in managing valvular heart disease in pregnancy, it’s really important to understand how they present so that we can be able to prevent their complications (maternal and fetal).
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