TY - JOUR
T1 - Perioperative management of transcatheter, aortic and mitral, double valve-in-valve implantation during pregnancy through left ventricular apical approach
AU - Chengode, Suresh
AU - Shabadi, Rahul Vijaykumar
AU - Rao, Ram Narayan
AU - Alkemyani, Nasser
AU - Alsabti, Hilal
N1 - Publisher Copyright:
© 2018 Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - 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.
AB - 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.
KW - Left ventricular apical approach
KW - transcatheter double valve-in-valve implantation
KW - valve-in-valve implantation during pregnancy
UR - http://www.scopus.com/inward/record.url?scp=85045672316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85045672316&partnerID=8YFLogxK
U2 - 10.4103/aca.ACA_157_17
DO - 10.4103/aca.ACA_157_17
M3 - Article
C2 - 29652282
AN - SCOPUS:85045672316
SN - 0971-9784
VL - 21
SP - 185
EP - 188
JO - Annals of Cardiac Anaesthesia
JF - Annals of Cardiac Anaesthesia
IS - 2
ER -