Key result
Valve-in-valve TAVR enables successful pregnancy continuation in critical bioprosthetic aortic stenosis.
Why the study?
Critical bioprosthetic aortic valve stenosis is a rare finding in the second trimester of pregnancy.
Case Report (n=1)
This case demonstrates that rescue valve-in-valve TAVR is safe and feasible during the second trimester of pregnancy for women presenting with decompensated heart failure due to severe bioprosthetic aortic stenosis, when managed by a multidisciplinary team.
Supports feasibility of rescue valve-in-valve TAVR in second-trimester pregnancy; hypothesis-generating and should not yet change practice.
Critical bioprosthetic aortic valve stenosis is a rare finding in the second trimester of pregnancy. We present the case of a successful valve-in-valve transcatheter aortic valve replacement in a 16-weeks-pregnant patient. We describe the significant role of the multidisciplinary heart team during preconception and pregnancy.
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Sajja et al. (2023) conducted a case report in Severe bioprosthetic aortic stenosis and heart failure in pregnancy (n=1). Valve-in-valve transcatheter aortic valve replacement was evaluated on Procedural success and maternal/fetal outcomes. Valve-in-valve transcatheter aortic valve replacement was successfully performed in a 16-weeks-pregnant patient with critical bioprosthetic aortic stenosis, allowing continuation of the pregnancy and delivery of a healthy baby.
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