ウネ　ダイ   Dai Une   畝　大    所属   川崎医科大学  医学部 臨床医学　心臓血管外科学    職種   教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Acute mitral valve endocarditis at the 24th gestational week.
掲載誌名	正式名：General thoracic and cardiovascular surgery 略　 称：Gen Thorac Cardiovasc Surg ISSNコード：18636713/18636705
掲載区分	国内
巻・号・頁	68(12),pp.1457-1460
著者・共著者	Zenichi Masuda, Yosuke Miyamoto, Dai Une, Yoshinori Inoue, Atsushi Tateishi, Yutaka Yokota, Mikizo Nakai, Masahiro Okada
発行年月	2020/12
概要	Infective endocarditis during pregnancy and subsequent cardiac surgery are rare and carry a high mortality risk for both the mother and fetus. We report our experience with a previously healthy, 22-year-old woman affected by acute active mitral endocarditis due to Streptococcus gordonii at the 24th gestational week, who wished to continue with the pregnancy. Due to cardiogenic shock, an intra-aortic balloon pump was inserted. Our patient successfully underwent mitral valve replacement with normothermic high-flow cardiopulmonary bypass and continuous intraoperative fetus monitoring. She delivered a 2524-g baby vaginally at the 38th gestational week. Both the mother and child were confirmed to be doing well at the 1-year follow-up. Although this was the first case, urgent cardiac surgery and a subsequent childbirth went well by prompt decision of each department.
DOI	10.1007/s11748-019-01280-7
PMID	31865599