Repeat Pregnancy after Prior Aortic Valve-in-Valve Replacement: A Cautionary Tale
| Autor: | Kazumasa Hashimoto, John H. Braxton, Kelly S. Rasmussen, Chuyang Zhong, Roxann Rokey, Stacey Rolak |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Aortic valve
medicine.medical_specialty medicine.medical_treatment Case Report Chest pain Transcatheter Aortic Valve Replacement Aortic valve replacement Valve replacement Pregnancy Risk Factors medicine Humans Heart Valve Prosthesis Implantation Community and Home Care business.industry Repeat pregnancy General Medicine Successful pregnancy medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Aortic Valve Child bearing Female medicine.symptom business |
| Zdroj: | Clin Med Res |
| ISSN: | 1554-6179 1539-4182 |
| Popis: | Transcatheter aortic valve replacement (TAVR) within a severely stenotic native aortic valve or previously placed surgical biologic aortic valve replacement (SAVR) is a rare occurrence in pregnant patients. The short- and long-term procedural outcomes for future pregnancies in these women or any woman of child bearing age who have received prior TAVR or TAVR in SAVR, are unknown. We describe the first result of a repeat pregnancy outcome in a woman with a history of prior TAVR in SAVR. Both maternal and fetal outcomes were favorable, but maternal cardiac complications observed in the third trimester emphasize our concerns regarding risk for cardiac complications in subsequent pregnancies in patients with a prior TAVR in SAVR. Despite the maternal complications that occurred during repeat pregnancy in this patient, a successful pregnancy outcome reaffirms our recommendation to utilize a multidisciplinary team for pregnancy management in patients with prior TAVR or TAVR in SAVR and to help in the management of any cardiac complications that may occur during or shortly after pregnancy. |
| Databáze: | OpenAIRE |
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