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Severe bicuspid aortic stenosis in pregnancy: balancing the risk of prematurity and maternal mortality

Part of: Cardiac Morphology

Published online by Cambridge University Press:  08 February 2018

Chinedu Nwabuobi ,
Megan McDowell  and
Sarah Običan
Chinedu Nwabuobi*
Affiliation:
Departments of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL, USA
Megan McDowell
Affiliation:
Departments of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL, USA
Sarah Običan
Affiliation:
Departments of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL, USA
*
Author for correspondence: C. Nwabuobi, MD, MS, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Morsani College of Medicine, University of South Florida, 2 Tampa General Circle, Suite 6053, Tampa, FL 33606, USA. Tel: 813 259 0828; Fax: 813 259 0839; E-mail: cnwabuobi@health.usf.edu
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Abstract

We report a case of combined severe aortic stenosis and regurgitation in a pregnant patient with a history of congenital bicuspid aortic valve. The patient presented at 22 weeks of gestation with angina and pre-syncopal symptoms. During her admission, she experienced intermittent episodes of non-sustained ventricular tachycardia and hypotension. A multi-disciplinary healthcare team was assembled to decide on the appropriate medical and surgical treatment options. At 28 weeks of gestation, the patient underwent a caesarean delivery immediately followed by a mechanical aortic valve replacement.

Keywords

Aortic stenosisaortic regurgitationbicuspid aortic valveCHDpregnancy complicationmaternal mortality
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 5 , May 2018 , pp. 756 - 758
Copyright
© Cambridge University Press 2018 

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