Shanghai Changhai Hospital Thoracic Heart Surgery Department Han Lin: Hello, you now have severe mitral stenosis, the valve mouth area is only 0.8, this situation will be difficult for pregnancy and delivery, so must be treated first, 1, the best way of course is through expansion, so that the valve mouth area expanded to about 2, because you have expanded once, now the valve may have calcification stiffness, again expansion may lead to valve closure incomplete, so choose this method, it is best to carefully do the heart ultrasound to see if there is a possibility of valve closure. So choose this method, it is best to carefully do the heart ultrasound to see if there is a possibility of re-expansion. 2, valve replacement surgery treatment is more thorough, but face the problem of valve selection, such as with mechanical valves, although they can be used for life, but to take warfarin, which may lead to child teratogenesis when pregnant, and also more trouble when giving birth. A biologic valve avoids these problems, but it has a life span of years, usually about 15 years before it breaks down and has to be reoperated, which is the biggest concern. Personally, I think it is better to use the biological flap, although it may be necessary to operate again in the future, but now the technology is safer to operate again, and the success rate of this operation here is basically the same as the first operation, so after replacing the biological flap, you can feel free to get pregnant and have a baby without worrying too much. I don’t know if the above answer is satisfactory, but if you need help, please contact me. Han Lin, Department of Thoracic Surgery, Shanghai Changhai Hospital
Patient: Description of condition (onset, main symptoms, hospital visited, etc.): I, female, 34 years old, had mitral valve dilatation surgery in 1995, and now I have the following ultrasound findings: 1. 2, mitral valve thickening, junctional adhesions, anterior leaflet opening in the shape of Heron, estimated its orifice area of about 0.8 square centimeters, color Doppler shows a slight mitral regurgitation. The aorta was not widened, the aortic valve was not thickened, the opening was not restricted, and color Doppler showed no aortic regurgitation. The right atrium is enlarged, the right ventricle is full, the main trunk and the left and right branches of the pulmonary artery are widened by 28 mm, 16 and 20 mm respectively, and the systolic pressure of the pulmonary artery is estimated by continuous Doppler to be 65 according to mild to moderate tricuspid regurgitation. I want to have a child, what kind of surgery is suitable for me?