Key result
Percutaneous balloon valvuloplasty successfully reduced the pulmonary gradient from 93 mmHg to 26 mmHg in a pregnant patient with bioprosthetic pulmonary valve stenosis, without complications.
Why the study?
Bioprosthetic pulmonary valves often malfunction after several years requiring reintervention, but experience managing bioprosthetic pulmonary valve stenosis during pregnancy is limited.
Does percutaneous balloon valvuloplasty safely reduce pulmonary gradient in a pregnant patient with bioprosthetic pulmonary valve stenosis?
Case Report (n=1)
No
Does percutaneous balloon valvuloplasty safely reduce pulmonary gradient in a pregnant patient with bioprosthetic pulmonary valve stenosis?
Percutaneous balloon valvuloplasty can be a safe and effective palliative procedure for severe bioprosthetic pulmonary valve stenosis during pregnancy, allowing for symptom relief and safe delivery.
May support palliative valvuloplasty in select pregnant patients with bioprosthetic PS; hypothesis-generating and should not yet change practice.
The pulmonary valve's anomalies can lead to the obstruction of the right ventricle's outflow tract. This leads to the right ventricle's pressure overload, dilation, hypertrophy and eventually his malfunction. Balloon angioplasty or valve replacement surgery is indicated in cases of severe pulmonary stenosis. Often, the insertion of bioprosthetic pulmonary valves is required; however, after several years these patients often require a second surgery due to the valve's malcfunction. We report the case of a pregnant patient with a bioprosthetic pulmonary valve who required a ballon angioplasty due to this valve's stenosis.
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Borges-López et al. (2022) conducted a case report in Pulmonary bioprosthetic valve stenosis (n=1). Percutaneous balloon valvuloplasty vs. Pre-intervention (baseline) was evaluated on Pulmonary gradient (>50% reduction). Percutaneous balloon valvuloplasty successfully reduced the pulmonary gradient from 93 mmHg to 26 mmHg in a pregnant patient with bioprosthetic pulmonary valve stenosis, without complications.
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