Multidisciplinary Approach to Management of Hypertrophic Cardiomyopathy With Severe Left Ventricular Outflow Obstruction in Pregnancy

Aditya Bhave; Gem Mohan; Lindsey Couture; Gyanendra Sharma; Juliet Yirerong

doi:10.1016/j.jaccas.2023.102057

Multidisciplinary Approach to Management of Hypertrophic Cardiomyopathy With Severe Left Ventricular Outflow Obstruction in Pregnancy

JACC Case Rep. 2023 Dec 6:27:102057. doi: 10.1016/j.jaccas.2023.102057.

Authors

Aditya Bhave¹, Gem Mohan¹, Lindsey Couture¹, Gyanendra Sharma¹, Juliet Yirerong^{1

2}

Affiliations

¹ Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
² Yale New Haven Bridgeport Hospital, Bridgeport, Connecticut, USA.

Abstract

Pregnancy can worsen symptoms of hypertrophic cardiomyopathy and increase the risk of complications. Severe left ventricular outflow tract obstruction with gradient >100 mm Hg poses a high risk of deterioration during pregnancy. We present a patient with hypertrophic obstructive cardiomyopathy in the third trimester of pregnancy with a left ventricular outflow tract gradient >100 mm Hg and discuss successful interdisciplinary management.

Keywords: hypertrophic obstructive cardiomyopathy pregnancy.

Publication types

Case Reports