Patient-prosthesis mismatch in pregnancy.

Abstract:

BACKGROUND:Patient-prosthesis mismatch is a known and severe complication after aortic valve repair in the general population. There is a paucity of literature regarding this condition in pregnancy. CASE:We present the clinical course of a pregnant woman with severe patient-prosthesis mismatch after aortic valve replacement. After extensive workup, the patient underwent aortic valve replacement, enlargement of the aortic root, and placement of a larger prosthetic valve at 21 weeks of gestation. Her postoperative course was complicated by fetal death. CONCLUSION:Cardiopulmonary bypass and aortic valve replacement present a multitude of risks to maternal and fetal health. The obstetrician managing pregnant women with prosthetic heart valves should be aware of the complications that may arise, including patient-prosthesis mismatch.

journal_name

Obstet Gynecol

authors

Johnston RC,Swank ML,Shrivastava VK,Hameed AB

doi

10.1097/AOG.0000000000000074

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

441-443

issue

2 Pt 2 Suppl 2

eissn

0029-7844

issn

1873-233X

pii

00006250-201402002-00010

journal_volume

123

pub_type

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