Pregnancy and Valvular Heart Disease

Authors

  • Jacob DeLaRosa
  • Erez Sharoni
  • Robert A. Guyton

DOI:

https://doi.org/10.1532/hsf.1085

Abstract

Heart disease can affect anyone at any time, and pregnant women are not exceptions. Some type of cardiac pathologic disease can be seen in 1% to 2% of all pregnant women. Because of the high fetal mortality rate and the high relative rate of maternal mortality in surgery, medical management is the first line of treatment. Nevertheless, when medical treatment fails, cardiac surgery may be necessary. Here we present such a case of cardiac valvular disease complicated by pregnancy. Current decision-making, treatment, and trends are reviewed.

References

de Souza JA, Martinez EE Jr, Ambrose JA, et al. 2001. Percutaeous balloon mitral valvuloplasty in comparison with open mitral valve commissurotomy for mitral stenosis during pregnancy. J Am Coll Cardiol 37:900-3.nDubourg G, Broustet H, Bricaud H, Fontan F, Tarieux M, Fontanille P. 1959. Correction complete d'une triade de fallot, en circulation extracorporelle, chex une femme enciente. Arch Mal Coeur Vaiss 52:1389-93.nEngelman DT, Adams DH, Byrne JG, et al. 1999. Impact of body masson morbidity and mortality after cardiac surgery. J Thorac Cardiovasc Surg 118:866-73.nKawkabani N, Kawas N. 1999. Case 3--1999: severe fetal bradycardia in a pregnant woman undergoing hypothermic cardiopulmonary bypass. J Cardiothorac Vasc Anesth 13:346-9.nLapiedra OJ, Bernal JM, Ninot S, Gonzalez I, Pastor E, Miralles PJ. 1986. Open heart surgery for mitral prosthetic thrombosis during pregnancy: fetal hydrocephalus. J Cardiovasc Surg (Torino) 27:217-20.nMesse JV. 1973. Heart disease in pregnancy. J Reprod Med 10:102-6. Sajja LR, Mannam GC. 2001. Role of closed mitral commissurotomy in mitral stenosis with severe pulmonary hypertension. J Heart Valve Dis 10:288-93.nAlfonso F, Macaya C, Hernandez R, et al. 1993. Percutaneous mitral valvoplasty with severe pulmonary hypertension. Am J Cardiol 72:325-30.nBernal JM, Miralles PJ. 1986. Cardiac surgery with cardiopulmonary bypass during pregnancy. Obstet Gynecol Surv 41:1-6.nCooley DA, Chapman DW. 1952. Mitral commissurotomy during pregnancy. JAMA 150:1113-6.nSiu SC, Colman JM. 2001. Heart disease and pregnancy. Heart 85:710-5.nSzekely PP, Snaith L. 1974. Heart disease and pregnancy. London, UK: Churchill Livingstone. p 20-1.n

Published

2005-02-02

How to Cite

DeLaRosa, J., Sharoni, E., & Guyton, R. A. (2005). Pregnancy and Valvular Heart Disease. The Heart Surgery Forum, 6(1), E7-E9. https://doi.org/10.1532/hsf.1085

Issue

Section

Articles

Most read articles by the same author(s)