Key result
Management of valvular heart disease in pregnancy requires comprehensive preconception evaluation and specialized follow-up to mitigate maternal and fetal risks.
Why the study?
How should a woman with a mechanical mitral valve prosthesis be evaluated and followed before and during pregnancy?
How should a woman with a mechanical mitral valve prosthesis be evaluated and followed before and during pregnancy?
This clinical vignette discusses the evaluation and management of pregnancy in a patient with a mechanical mitral valve prosthesis.
Answers are grounded in this paper and cite their sources.
Supports specialized cardio-obstetrics referral for mechanical valve pregnancies; leaves open evidence gaps on optimal anticoagulation.
A 29-year-old woman with a history of mitral stenosis who has a St. Jude Medical mitral-valve prosthesis presents for evaluation before attempting to conceive. She is concerned about the risks that pregnancy will confer on her and her child. How should she be evaluated and followed?
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Reimold et al. (2003) studied this question. Management of valvular heart disease in pregnancy requires comprehensive preconception evaluation and specialized follow-up to mitigate maternal and fetal risks.
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