Key result
Pregnancy can exacerbate subaortic stenosis, precipitating severe left ventricular outflow tract gradients.
Why the study?
Subaortic stenosis is an obstructive lesion that may be exacerbated by pregnancy, requiring careful management.
This case report highlights the presentation and management of subaortic stenosis, an obstructive lesion that can be exacerbated by the hemodynamic changes of pregnancy.
May guide individualized peripartum care in subaortic stenosis; leaves open optimal strategies without prospective data.
Subaortic stenosis is an obstructive lesion that may be exacerbated by pregnancy. We describe the management of a 39-year-old woman presenting at 37 weeks of pregnancy with a murmur who is found to have a subaortic membrane with severely elevated left ventricular outflow gradients. (Level of Difficulty: Beginner.)
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Shapero et al. (2020) studied this question. Subaortic stenosis can be exacerbated by pregnancy, presenting with a subaortic membrane and severely elevated left ventricular outflow gradients.
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