Perioperative management of transcatheter, aortic and mitral, double valve-in-valve implantation during pregnancy through left ventricular apical approach

Suresh Chengode, Rahul Vijaykumar Shabadi, Ram Narayan Rao, Nasser Alkemyani, Hilal Alsabti

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Pregnant women with stenotic degeneration of bioprosthetic cardiac valves may require another valve replacement procedure when their symptoms deteriorate with progression of pregnancy, but fetal mortality is higher with cardiac surgery done on cardiopulmonary bypass. Transcatheter valve-in-valve implantation may help to improve the fetal and maternal outcomes in these situations. Double valve-in-valve implantation is rare and has not been reported in a pregnant patient. We report, for the first time, the case of a pregnant woman with stenotic bioprosthetic valves in the mitral and aortic positions, who underwent a successful concomitant, transcatheter, double valve-in-valve implantation through the left ventricular apical route during the second trimester of her precious pregnancy.

Original languageEnglish
Pages (from-to)185-188
Number of pages4
JournalAnnals of Cardiac Anaesthesia
Volume21
Issue number2
DOIs
Publication statusPublished - Apr 1 2018

Fingerprint

Mitral Valve
Pregnant Women
Fetal Mortality
Pregnancy
Heart Valves
Second Pregnancy Trimester
Cardiopulmonary Bypass
Aortic Valve
Thoracic Surgery
Mothers

Keywords

  • Left ventricular apical approach
  • transcatheter double valve-in-valve implantation
  • valve-in-valve implantation during pregnancy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

Cite this

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abstract = "Pregnant women with stenotic degeneration of bioprosthetic cardiac valves may require another valve replacement procedure when their symptoms deteriorate with progression of pregnancy, but fetal mortality is higher with cardiac surgery done on cardiopulmonary bypass. Transcatheter valve-in-valve implantation may help to improve the fetal and maternal outcomes in these situations. Double valve-in-valve implantation is rare and has not been reported in a pregnant patient. We report, for the first time, the case of a pregnant woman with stenotic bioprosthetic valves in the mitral and aortic positions, who underwent a successful concomitant, transcatheter, double valve-in-valve implantation through the left ventricular apical route during the second trimester of her precious pregnancy.",
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AU - Alkemyani, Nasser

AU - Alsabti, Hilal

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