Dai Une    Department   Kawasaki Medical School  Kawasaki Medical School, Department of Cardiovascular Surgery,    Position   Professor
Article types	症例報告
Language	English
Peer review	Peer reviewed
Title	Acute mitral valve endocarditis at the 24th gestational week.
Journal	Formal name：General thoracic and cardiovascular surgery Abbreviation：Gen Thorac Cardiovasc Surg ISSN code：18636713/18636705
Domestic / Foregin	Domestic
Volume, Issue, Page	68(12),pp.1457-1460
Author and coauthor	Zenichi Masuda, Yosuke Miyamoto, Dai Une, Yoshinori Inoue, Atsushi Tateishi, Yutaka Yokota, Mikizo Nakai, Masahiro Okada
Publication date	2020/12
Summary	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