Key result
Severe aortic stenosis in pregnancy linked to maternal death driven by lack of management consensus.
Case Report (n=1)
Highlights the high risk of maternal mortality in pregnant women with severe aortic stenosis and the critical need for clear management consensus.
Severe AS pregnancy carries high maternal mortality risk amid management uncertainty; this case leaves open need for consensus guidelines and prospective data.
Aortic stenosis is uncommon during pregnancy as most patients with bicuspid valves who develop stenosis do so after the age of 50-60 yrs. Contrary to this majority of pregnant women who develop aortic stenosis have congenital stenotic valves as rheumatic disease most often affects mitral valve first and later aortic and other valves. The maternal as well as perinatal mortality are reported to be high,17.4% and 31.6% respectively. The management policies vary as the condition is uncommon and there is some evidence that aortic valve replacement during pregnancy results in good maternal and perinatal outcome. Here we report a case severe aortic stenosis which resulted in maternal death due to lack of consensus regarding management.
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A 2011 study conducted a case report in Severe aortic stenosis in pregnancy (n=1). Severe aortic stenosis was evaluated on Maternal death. Severe aortic stenosis during pregnancy resulted in maternal death in this case due to a lack of consensus regarding management.
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