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


1 Department of Anaesthesia, Division of Cardiac Anaesthesia, Sultan Qaboos University Hospital, Muscat, Oman
2 Department of Surgery, Division of Cardiac Surgery, Sultan Qaboos University Hospital, Muscat, Oman

Correspondence Address:
Suresh Chengode
Department of Anaesthesia, Division of Cardiac Anaesthesia, Sultan Qaboos University Hospital, PB 38, PC 123, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_157_17

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Year : 2018  |  Volume : 21  |  Issue : 2  |  Page : 185-188

 

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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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1 Department of Anaesthesia, Division of Cardiac Anaesthesia, Sultan Qaboos University Hospital, Muscat, Oman
2 Department of Surgery, Division of Cardiac Surgery, Sultan Qaboos University Hospital, Muscat, Oman

Correspondence Address:
Suresh Chengode
Department of Anaesthesia, Division of Cardiac Anaesthesia, Sultan Qaboos University Hospital, PB 38, PC 123, Muscat
Oman
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_157_17

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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