Is aortic valve replacement safe and effective for managing severe aortic stenosis with congestive heart failure during the 3rd trimester of pregnancy?
Aortic valve replacement can be successfully performed during the 3rd trimester of pregnancy in patients with severe aortic stenosis and heart failure, resulting in favorable maternal and fetal outcomes.
Aortic stenosis (AS) is an uncommon complication during pregnancy, but when it occurs it results in significant maternal and fetal morbidity and mortality. We present a gravida with severe AS in which aortic valve replacement was performed in the 3rd trimester of her pregnancy. She had severe AS with mild aortic regurgitation and severe congestive heart failure. Fetal heart rate and uterine activity were monitored and recorded during the operation. The pregnancy was carried uneventfully to term and the patient was delivered of a healthy baby. The literature is reviewed and recommendations are made for the management of AS during pregnancy.
Ben‐Ami et al. (Mon,) studied this question.
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