J. WARREN HARTHORNE, M.D., F.A.C.P.; MORTIMER J. BUCKLEY, M.D.; JOHN W. GROVER, M.D.; W. GERALD AUSTEN, M.D.
Heart disease remains the single greatest indirect cause of maternal death in the United States. From 1.2 to 3.7% of pregnant women suffer from heart disease in some form; of this number 78 to 95% of cases are rheumatic in origin (1). The purpose of the present report is to describe for the first time the successful insertion of a Starr-Edwards prosthesis during the first trimester of pregnancy in a patient with severe mitral valve disease and the subsequent management of an uneventful pregnancy.
A 35-year-old married woman (M. P.) had suffered rheumatic fever at age 6 and
HARTHORNE JW, BUCKLEY MJ, GROVER JW, AUSTEN WG. Valve Replacement During Pregnancy. Ann Intern Med. 1967;67:1032–1034. doi: 10.7326/0003-4819-67-5-1032
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Published: Ann Intern Med. 1967;67(5):1032-1034.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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