Severe bioprosthetic mitral valve stenosis in pregnancy

Jerson Munoz-Mendoza, Veronica Pinto Miranda, Tanyanan Tanawuttiwat, Amit Badiye, Sandra Chaparro

Research output: Contribution to journalArticle

Abstract

A 21-year-old woman in the 16th week of pregnancy was admitted due to acute presentation of severe exertional dyspnea. She had undergone mitral valve replacement (MVR) with bioprosthetic valve for infective endocarditis 2 years ago. She developed congestive heart failure from mitral bioprosthetic valve stenosis due to early structural valve deterioration. She also had severe pulmonary hypertension and underwent a redo MVR using a mechanical valve prosthesis with good maternal outcome but fetal demise. This report brings up the debate about what type of valve should be used in women in reproductive age, and discusses the management of severe mitral stenosis and stenosis of a bioprosthetic valve during pregnancy. Surgical options can almost always be delayed until fetal maturity is achieved and a simultaneous cesarean section can be performed. However, under certain circumstances when the maternal welfare is in jeopardy the surgical intervention is mandatory even before the fetus reaches viability.

Original languageEnglish (US)
Pages (from-to)38-42
Number of pages5
JournalGeneral Thoracic and Cardiovascular Surgery
Volume64
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • Bioprosthesis
  • Mitral stenosis
  • Pregnancy
  • Redo mitral surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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