Confused Q - user_10

[ArchivalUser]

A 28-year-old woman is referred for evaluation of persistent dyspnea related to mitral stenosis. The patient is 30 weeks pregnant, and her dyspnea persists despite treatment with metoprolol, furosemide, and digoxin. Her heart rate is 70/min. An echocardiogram shows severe mitral valve stenosis, with a mean gradient of 14 mm Hg and a mitral valve area of 1 cm2. Trivial mitral valve regurgitation is noted. The estimated right ventricular systolic pressure is 50 mm Hg. She has crackles in both lung bases and bilateral lower extremity edema.
Which of the following interventions do you recommend?
A. Surgical mitral valvotomy
B. Urgent delivery of the fetus followed by reassessment of maternal cardiac status
C. Transesophageal echocardiography followed by percutaneous mitral balloon valvuloplasty
D. Diagnostic cardiac catheterization
E. Fetal echocardiogram

[ArchivalUser]

It should be C....Cuz if pregnant pt is normal she can well tolerate the normal hemodynamic changes associated with pregnancy. This female e severe mitral stenosis already failed medical management with heart failure required percutaneous mitral balloon valvloplasty (if Valves morphology is favorable).

[ArchivalUser]

I agree