Valvular Heart Disease and Pregnancy

Research output: Contribution to journalReview article

Abstract

Among women with valvular heart disease, those with mitral stenosis carry the greatest potential for problems during pregnancy. Asymptomatic women with aortic stenosis and only mild or moderate left ventricular outflow obstruction generally tolerate pregnancy well, as do those with regurgitant lesions. In Marfan syndrome, pregnancy should not be undertaken if the aortic root dimension exceeds 4 cm. Even if the aortic root is normal, a small increased risk of dissection is present. Women with well-functioning bioprosthetic valves and normal hemodynamics may safely undertake a pregnancy, although bioprostheses deteriorate rapidly in young people.

Original languageEnglish (US)
Pages (from-to)369-381
Number of pages13
JournalCardiology clinics
Volume30
Issue number3
DOIs
StatePublished - Aug 1 2012

Keywords

  • Bicuspid aortic valve
  • Hypertrophic cardiomyopathy
  • Marfan syndrome
  • Mitral stenosis
  • Pregnancy
  • Prosthetic heart valves

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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