Severe Subvalvular Aortic Stenosis in a Pregnant Woman

Overview

Journal Heart Views

Specialty Cardiology & Vascular Diseases

Date 2022 Jun 27

PMID 35757451

Authors

Ahmed Abdalla Elyas

Ahmed Mohamed Al Maghraby

Affiliations

Soon will be listed here.

Abstract

A 35-year-old pregnant female in her second trimester presented with heart failure manifestations with evidence of very severe fixed left ventricular outflow tract obstruction. The peak systolic gradient was 132 mmHg, which is the highest reported in the literature, secondary to congenital subaortic membrane. Similar case reports that we could find in the literature were reviewed to highlight the importance of such anomaly.

References

Ali U, Copel J, Friedman A . A successful pregnancy outcome following the Ross procedure: a case report. Am J Perinatol. 2008; 26(4):287-9. DOI: 10.1055/s-0028-1103157. View

Dostalova G, Hlubocka Z, Palecek T, Cerny V, Grus T, Lindner J . Heart Failure Caused by Misdiagnosed Subaortic Stenosis in Adulthood: Lesson for Daily Practice. Ann Thorac Surg. 2017; 104(1):e91. DOI: 10.1016/j.athoracsur.2017.01.122. View

Orwat S, Diller G, van Hagen I, Schmidt R, Tobler D, Greutmann M . Risk of Pregnancy in Moderate and Severe Aortic Stenosis: From the Multinational ROPAC Registry. J Am Coll Cardiol. 2016; 68(16):1727-1737. DOI: 10.1016/j.jacc.2016.07.750. View

Hyuga S, Okutomi T, Kato R, Hosokawa Y . Continuous spinal labor analgesia for two deliveries in a parturient with severe subvalvular aortic stenosis. J Anesth. 2016; 30(6):1067-1070. DOI: 10.1007/s00540-016-2238-6. View

Yap S, Drenthen W, Pieper P, Moons P, Mulder B, Mostert B . Risk of complications during pregnancy in women with congenital aortic stenosis. Int J Cardiol. 2007; 126(2):240-6. DOI: 10.1016/j.ijcard.2007.03.134. View

Arias F, Pineda J . Aortic stenosis and pregnancy. J Reprod Med. 1978; 20(4):229-32. View

Shapero K, Chou J . Subaortic Stenosis With Elevated Aortic Gradients in a Pregnant Patient. JACC Case Rep. 2021; 2(1):131-134. PMC: 8301510. DOI: 10.1016/j.jaccas.2019.11.054. View

Chen S, Wu L, Jiang X . Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis. BMC Anesthesiol. 2019; 19(1):116. PMC: 6610927. DOI: 10.1186/s12871-019-0791-x. View

Warnes C, Williams R, Bashore T, Child J, Connolly H, Dearani J . ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the.... J Am Coll Cardiol. 2008; 52(23):e143-e263. DOI: 10.1016/j.jacc.2008.10.001. View

10.

Regitz-Zagrosek V, Roos-Hesselink J, Bauersachs J, Blomstrom-Lundqvist C, Cifkova R, De Bonis M . 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018; 39(34):3165-3241. DOI: 10.1093/eurheartj/ehy340. View

11.

Guglin M, Kristof-Kuteyeva O . Congenital discrete subaortic stenosis in pregnancy: case report and literature review. J Heart Valve Dis. 2013; 22(3):439-44. View

12.

Suntharalingam G, Dob D, Yentis S . Obstetric epidural analgesia in aortic stenosis: a low-dose technique for labour and instrumental delivery. Int J Obstet Anesth. 2004; 10(2):129-34. DOI: 10.1054/ijoa.2000.0720. View

13.

Chang S, Khakh P, Janzen M, Kiess M, Rychel V, Grewal J . Pregnancy related changes in Doppler gradients and left ventricular mechanics in women with sub-valvular or valvular aortic stenosis. Echocardiography. 2021; 38(10):1754-1761. DOI: 10.1111/echo.15208. View