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Successful aortic valve and ascending aorta replacement during pregnancy
Chani Tromop-van Dalen1, Sarah L Fairley2, Jade S Lodge3
1General Medicine Department, Wellington Hospital, Wellington, New Zealand.
Obstetric Medicine
|May 22, 2025
Summary
Pregnancy poses risks for women with bicuspid aortic valves and aortic dilatation. Surgical aortic valve and ascending aorta replacement during pregnancy requires multidisciplinary care and informed patient decisions.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Maternal-Fetal Medicine
Background:
- Bicuspid aortic valves (BAV) are associated with aortic dilatation, posing risks during pregnancy.
- Aortic stenosis and dilatation in pregnancy present complex management challenges.
Purpose of the Study:
- To discuss the risks of aortic dilatation in pregnant patients with BAV.
- To review management options for aortic valve disease during pregnancy.
- To summarize mechanical valve management in pregnancy and delivery.
Main Methods:
- Case presentation of a pregnant patient with BAV undergoing aortic valve and ascending aorta replacement.
- Literature review on aortic dilatation in BAV during pregnancy.
- Summary of mechanical valve management protocols.
Main Results:
- Successful surgical aortic valve and ascending aorta replacement in a 14-week pregnant patient.
- Identified significant risks of aortic dilatation associated with BAV during pregnancy.
- Outlined management strategies for mechanical valves in pregnant patients.
Conclusions:
- Multidisciplinary counseling is crucial for informed decision-making in pregnant patients with BAV and aortic disease.
- Patient-centered care is essential for managing complex cardiovascular conditions during pregnancy.
- Timely surgical intervention can be considered in select pregnant patients with severe aortic pathology.
