A successful pregnancy outcome after mitral valve replacement: a case report

Authors

  • Vineet V. Mishra Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India
  • Priyanka H. Rane Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India
  • Rohina S. Aggarwal Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India
  • Kunur N. Shah Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20233320

Keywords:

Valvular heart disease, Rheumatic heart disease, Mitral valve prosthesis, Pregnancy

Abstract

Valvular heart disease can be acquired or congenital. Although the incidence of rheumatic heart disease is on the decline, the number of patients with congenital heart disease who survive into adulthood has grown substantially over the past 30 years. Therefore, a large number of patients with valvular heart disease will be of childbearing age. Here we presented a case of second gravida who was diagnosed with rheumatic heart disease and had undergone mitral valve prosthesis and tricuspid valve repair delivered a healthy live male baby weighing 2.250 kg.

References

Bonow RO, Carabello BA, Chatterjee K, De Leon AC, Faxon DP, Freed MD, et al. (2008). 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008;52(13):142.

Oakley C, Doherty P. Pregnancy in patients after valve replacement. Br Heart J. 1976;38:1140-8.

Elkayam U, Bitar F. Valvular heart disease and pregnancy: part II: prosthetic valves. J Am Coll Cardiol. 2005;46(3):403-10.

Warnes CA. Prosthetic heart valves. In: Steer PJ, Gatzoulis MA, Baker P, eds. Heart disease and pregnancy. London, UK: RCOG Press; 2006: 157-68.

Maxwell C, Sermer M. Mechanical heart valves and pregnancy. Fetal Matern Med Rev. 2007;18(4):311-31.

Sbarouni E, Oakley C. Outcome of pregnancy in women with valve prostheses. Br Heart J. 1994;71(2):196-201.

Sadler L, McCowan L, White H, Stewart A, Bracken M, North R. Pregnancy outcomes and cardiac complications in women with mechanical, bioprosthetic and homograft valves. BJOG. 2000;107(2):245-53.

Larrea JL, Ninez L, Reque JA, Aguado M, Matarros R, Minguez JA. Pregnancy and mechanical valve prostheses: a high risk situation for the mother and the fetus. Ann Thorac Surg. 1983;36:459-63.

Vitale N, De Feo M, De Santo LS, Pollice A, Tedesco N, Cotrufo M. Dosedependent fetal complications of warfarin in pregnant women with mechanical heart valves. J Am Coll Cardiol. 1999;33(6):1637-41.

Maxwell CV, Poppas A, Dunn E, Sermer M. Pregnancy, mechanical heart valves and anticoagulation: navigating the complexities of management during gestation. In: Rosene-Montella K, Keely EJ, Barbour LA, Lee RV, eds. Medical care of the pregnant patient. 2nd ed. Philadelphia, PA: American College of Physicians; 2007: 344-55.

Chan WS, Anand S, Ginsberg JS. Anticoagulation of pregnant women with mechanical heart valves: a systemic review of the literature. Arch Intern Med. 2000;160(2):191-6.

American College of Cardiology/American Heart Association Task Force on Practice Guidelines, Society of Cardiovascular Anesthesiologists, Society of Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines. Circulation. 2006;114(5):84-231.

Graham S. Maternal endocarditis. In: Steer PJ, Gatzoulis MA, Baker P, eds. Heart disease and pregnancy. London, UK: RCOG Press; 2006: 267-82.

Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007;116(15):1736-54.

Downloads

Published

2023-10-27

Issue

Section

Case Reports