Authors: Soumaoro Morlaye, Samoura Aly, Samoura Sana, Camara Abdoulaye, Barry Ibrahima Sory, Diallo Yaya, Koivogui Diara, Doumbouya Mohamed, Balde Elhadj Yaya, Beavogui Mariama, Balde Mamadou Dadhi, Conde Mamady.
Objective: Introduction :The heart disease seen in pregnant women is rare but serious, representing the leading cause of maternal mortality in the UK registry [1]. In western countries, valvulopathies account for a quarter of the heart diseases observed during pregnancy, the most common being congenital heart disease [2]. Even in Western countries, these valvulopathies are most often of rheumatic origin. They remain by far the most common heart disease in developing countries [3].
Observation: It was M B 20 years housewife size = 1.64 m, weight = 69 Kg admitted for dyspnea class II, palpitations, physical asthenia and edema of the lower limbs. Evolving for 1 month without risk factor of known cardiovascular disease, with a history of hypertensive mother for 8 years under IEC, it is also followed in maternity for evolutionary twin pregnancy of 32 SA according to the prenatal consultation book (ANC) and biometrics (ultrasound obstetric).
On physical examination the shock tip is visible and palpable at the 5th intercostal space left on the medio clavicular line, peripheral pulses are well perceived fast. SPO2 = 98% in the ambient air, heart sounds are regular at 87 bpm approximately TA 120/80 mmHg a systolic murmur of 4/6 in the mitral focus radiating to the left armpit and a diastolic murmur at the aortic focus radiating along the left edge of the sternum.
To the lungs the vocal vibrations are transmitted, the vesicular murmurs are audible, Abdomen increase in volume there was an ovoid uterus with a long longitudinal axis and a large upper end no uterine contraction with a uterine height of 20 cm, Musculoskeletal edema is noted to the lower limb soft bilateral painless not keeping scoop The rest of the examination is without particularity.
Conclusion: In conclusion, the presence of a valvulopathy, and even more of a polyvalvulopathy, in a pregnant woman requires an individualized evaluation because the risk of gravidic complications is variable according to the type of valvulopathies and their tolerance. Stenosing valvulopathies, especially mitral, require special vigilance, with monthly monitoring from the second trimester in the cardiologist before delivery.
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