<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092018000300160</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Insuficiencia cardiaca aguda secundaria a estenosis mitral reumática durante el puerperio]]></article-title>
<article-title xml:lang="en"><![CDATA[Puerperal acute heart failure secondary to mitral stenosis. Case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Insuficiência cardíaca aguda secundária à estenose mitral reumática durante puerpério]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Goris]]></surname>
<given-names><![CDATA[Mercedes del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Carrillo]]></surname>
<given-names><![CDATA[Manuel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México «Dr. Eduardo Liceaga»  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General «Dr. Manuel Gea González»  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>32</volume>
<numero>3</numero>
<fpage>160</fpage>
<lpage>163</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092018000300160&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092018000300160&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092018000300160&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las cardiopatías complican 4% de los embarazos y 60% son por valvulopatías reumáticas; la más común es la estenosis mitral. Por esta razón, reportamos el caso de una puérpera en apariencia sana con embarazo normoevolutivo que debutó con falla cardiaca derecha. Se integró el diagnóstico de estenosis mitral grave por enfermedad reumática, la cual se estabilizó de manera precoz para realizar de forma externa corrección quirúrgica. Aunque en la actualidad la prevalencia de enfermedades reumáticas ha disminuido, la estenosis mitral sigue siendo la valvulopatía más común en las embarazadas y es una entidad potencialmente mortal si no se lleva el control adecuado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Heart disease complicates 4% of pregnancies, and rheumatic valve diseases make up 60% of these cases. The most common one is mitral stenosis. We present the case of a healthy puerperal woman with a non-complicated pregnancy who begin with pulmonary edema and acute heart failure. She was diagnosed with severe mitral stenosis with rheumatoid etiology, which was stabilized for external surgical correction. Although the prevalence of rheumatoid diseases has decreased, mitral stenosis remains the most common valve disease in pregnant women and is life-threatening without proper control.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: As cardiopatias complicam 4% das gestações e 60% são decorrentes de valvopatias reumáticas, sendo a mais comum a estenose mitral. Por esse motivo, relatamos o caso de uma puérpera aparentemente saudável com gestação normoevolutiva, que debutou com insuficiência cardíaca direita, integrando o diagnóstico de estenose mitral grave por doença reumática, que se estabilizou precocemente para realizar correção cirúrgica externa. Embora atualmente a prevalência de doenças reumáticas tenha diminuído, a estenose mitral ainda é a doença valvular mais comum em mulheres grávidas e é uma entidade potencialmente fatal se não for adequadamente controlada.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Falla cardiaca]]></kwd>
<kwd lng="es"><![CDATA[estenosis mitral]]></kwd>
<kwd lng="es"><![CDATA[complicaciones del embarazo]]></kwd>
<kwd lng="es"><![CDATA[muerte materna]]></kwd>
<kwd lng="en"><![CDATA[Heart failure]]></kwd>
<kwd lng="en"><![CDATA[mitral valve stenosis]]></kwd>
<kwd lng="en"><![CDATA[pregnancy complications]]></kwd>
<kwd lng="en"><![CDATA[maternal death]]></kwd>
<kwd lng="pt"><![CDATA[Insuficiência cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[estenose mitral]]></kwd>
<kwd lng="pt"><![CDATA[complicações da gravidez]]></kwd>
<kwd lng="pt"><![CDATA[morte]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roeder]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Kuller]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Barker]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[James]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal valvular heart disease in pregnancy]]></article-title>
<source><![CDATA[Obstet Gynecol Surv]]></source>
<year>2011</year>
<volume>66</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>561-71</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo en pacientes con cardiopatía reumática]]></article-title>
<source><![CDATA[Arch Cardiol Mex]]></source>
<year>2001</year>
<volume>71</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>160-3</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pessel]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bonanno]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valve disease in pregnancy]]></article-title>
<source><![CDATA[Semin Perinatol]]></source>
<year>2014</year>
<volume>38</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>273-84</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Viruez-Soto]]></surname>
</name>
<name>
<surname><![CDATA[Vallejo-Narváez]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Briones-Garduño]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz de León Ponce]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Emergencias cardiovasculares durante el embarazo]]></article-title>
<source><![CDATA[Medicina crítica en obstetricia]]></source>
<year>2015</year>
<page-range>227</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Prado]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valdivia]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Doblas]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Barber]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Eguiliz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Hijano]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estenosis mitral en gestante. A propósito de un caso]]></article-title>
<source><![CDATA[Clin Invest Ginecol Obstet]]></source>
<year>2003</year>
<volume>30</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>322-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grant]]></surname>
<given-names><![CDATA[EN]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Perez]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Labor complicated by mitral stenosis]]></article-title>
<source><![CDATA[Proc (Bayl Univ Med Cent)]]></source>
<year>2013</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>42</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Norrad]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Salehian]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of severe mitral stenosis during pregnancy]]></article-title>
<source><![CDATA[Circulation]]></source>
<year>2011</year>
<volume>124</volume>
<numero>24</numero>
<issue>24</issue>
<page-range>2756-60</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Traill]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valvular heart disease and pregnancy]]></article-title>
<source><![CDATA[Cardiol Clin]]></source>
<year>2012</year>
<volume>30</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>369-81</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roche-Kelly]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson-Piercy]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Managing cardiovascular disease during pregnancy: best practice to optimize outcomes]]></article-title>
<source><![CDATA[Future Cardiol]]></source>
<year>2014</year>
<volume>10</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>421-33</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
