Key result
Emergent C-section followed by mechanical AVR successfully manages aortic root abscess in pregnancy.
Why the study?
Management of bicuspid aortic valve in pregnancy is complicated by extensive hemodynamic and cardiovascular changes and associated valvular and vascular complications.
Case Report (n=1)
No
A 39-year-old patient presented to our Labor and Delivery unit with fever and nausea in the context of recent bacteriuria. She was found to be in sepsis due to an incidental bicuspid aortic valve (BAV) complicated by aortic valvular vegetations, severe aortic insufficiency, and aortic root abscess, requiring an emergent cesarean section. Three days after delivery, the patient successfully underwent a mechanical aortic valve replacement and root reconstruction. In this case report, medical, surgical, and anesthetic management of parturient patients with BAV are discussed. The management of this congenital valvulopathy and vasculopathy is complicated by the extensive hemodynamic and cardiovascular derangements that occur during pregnancy.
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He et al. (2021) conducted a case report in Bicuspid Aortic Valve with Infective Endocarditis in Pregnancy (n=1). Emergent cesarean section and mechanical aortic valve replacement was evaluated on Clinical recovery and survival. A 39-year-old pregnant patient with a bicuspid aortic valve complicated by endocarditis and aortic root abscess was successfully managed with an emergent cesarean section followed by mechanical aortic valve replacement.
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