Valvular Heart Disease and Pregnancy

Research output: Contribution to journalArticle

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 2012

Fingerprint

Heart Valve Diseases
Pregnancy
Ventricular Outflow Obstruction
Bioprosthesis
Marfan Syndrome
Mitral Valve Stenosis
Aortic Valve Stenosis
Dissection
Hemodynamics

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Valvular Heart Disease and Pregnancy. / Traill, Thomas A.

In: Cardiology Clinics, Vol. 30, No. 3, 08.2012, p. 369-381.

Research output: Contribution to journalArticle

Traill, Thomas A. / Valvular Heart Disease and Pregnancy. In: Cardiology Clinics. 2012 ; Vol. 30, No. 3. pp. 369-381.
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