Key result
Transcatheter structural interventions provide a minimally invasive alternative to surgery for managing severe valvular heart disease during pregnancy, requiring multidisciplinary heart team management.
Why the study?
Valvular heart disease occurs in about 1% of pregnancies and significantly increases maternal and foetal risk, requiring appropriate management strategies.
This review provides an overview of management strategies for pregnant women with valvular heart disease, focusing on transcatheter interventions, radiation exposure, and anticoagulation based on 2018 ESC guidelines.
Provides a consolidated clinical framework for complex maternal valvular disease; leaves open the need.
Valvular heart disease (VHD) is encountered in approximately 1% of pregnancies, significantly increasing both maternal and foetal risk. Rheumatic VHD remains the most common form in non-Western countries, whereas congenital heart disease dominates in the Western world. The risk of complications varies according to the type and severity of the underlying VHD. Moreover, pregnancy is a hypercoagulable state associated with increased risk of thromboembolism. The authors review the main VHDs encountered during pregnancy, and suggest management strategies based on the 2018 European Society of Cardiology recommendations for the management of pregnant women with VHD, providing an overview of classical and new transcatheter structural therapeutic options with a special focus on radiation exposure and anticoagulation drug management.
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Fraccaro et al. (2020) conducted a review in Valvular heart disease during pregnancy. Transcatheter structural interventions was evaluated. Transcatheter structural interventions provide a minimally invasive alternative to surgery for managing severe valvular heart disease during pregnancy, requiring multidisciplinary heart team management.
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