The Outcome of Percutaneous Mitral Balloon Commissurotomy (PMBC) in Pregnant Women with Mitral Stenosis: An Evidence Based Study

Luaran Komisurotomi Balon Mitral Perkutan pada Perempuan Hamil

  • Suskhan Djusad Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Jakarta
  • Surahman Hakim Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National Central General Hospital
  • Raymond Surya Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Jakarta
  • Hansens Yansah Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Jakarta
  • Ali Sungkar Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National Central General Hospital

Abstract

Abstract

Objective: To review the outcome of percutaneous mitral balloon commissurotomy (PMBC) both to maternal and neonatal.

Methods: The search was conducted on Pubmed®, Cochrane Library®, and Ovid® using MeSH. Critical appraisal determining the validity, importance, and applicability (VIA) was conducted by two independent authors.

Results: Several studies showed that performing the PMBC had good outcome for pregnant women functional class based on NYHA. Most of them decreased from NYHA III/IV to I/II. For delivery outcome, all studies concluded that more than 80% pregnant women with mitral stenosis undergoing PMBC delivered at term, and no congenital anomalies found.

Conclusion: Percutaneous mitral balloon commissurotomy for pregnant women with severe MS is safe during pregnancy.

Keywords: mitral stenosis, outcome, percutaneous mitral balloon commissurotomy,  pregnancy,

 

Abstrak

Tujuan: Mengulas luaran komisurotomi balon mitral perkutan (KBMP) baik pada maternal maupun neonatus.

Metode: Pencarian dilakukan melalui Pubmed®, Cochrane Library®, dan Ovid® menggunakan MeSH. Telaah kristis dilakukan oleh 2 penulis independen berdasarkan validitas, kepentingan, dan aplikabilitas.

Hasil: Beberapa studi memperlihatkan KBMP memiliki luaran yang baik di kalangan perempuan hamil berdasarkan kelas fungsional NYHA. Kebanyakan mereka mengalami penurunan NYHA dari III/IV menjadi I/II. Untuk  luaran persalinan, seluruh studi menyimpulkan lebih dari 80% perempuan dengan mitral stenosis yang menjalani pembedahan KBMP melahirkan pada usia term dan tidak ditemukan kelainan.

Kesimpulan: KBMP aman dilakukan pada perempuan hamil dengan mitral stenosis berat.

Kata kunci: kehamilan, komisurotomibalon mitral perkutan, luaran, stenosis mitral

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Author Biographies

Suskhan Djusad, Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Jakarta

Department of Obstetrics and Gynecology

Surahman Hakim, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National Central General Hospital

Department of Obstetrics and Gynecology

Raymond Surya, Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Jakarta

Departement of Obstetrics and Gynecology

Hansens Yansah, Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Jakarta

Departement of Obstetrics and Gynecology

Ali Sungkar, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National Central General Hospital

Department of Obstetrics and Gynecology

Published
2020-01-17
Section
Case Report

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