A Pregnant Woman With Severe Symptomatic Aortic Stenosis: How Should We Treat?

Oren Yagel; Roie Alter; Batel Nissan; Donna R Zwas; Joshua I Rosenbloom; Ophir Eyal; Mordechai Golomb; David Planer; Gabby Elbaz-Greener

doi:10.1016/j.jaccas.2023.102205

A Pregnant Woman With Severe Symptomatic Aortic Stenosis: How Should We Treat?

JACC Case Rep. 2024 Jan 5;29(3):102205. doi: 10.1016/j.jaccas.2023.102205. eCollection 2024 Feb 7.

Authors

Oren Yagel¹, Roie Alter², Batel Nissan¹, Donna R Zwas¹, Joshua I Rosenbloom², Ophir Eyal³, Mordechai Golomb¹, David Planer¹, Gabby Elbaz-Greener¹

Affiliations

¹ Department of Cardiology, Hadassah Medical Center, The Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
² Department of Obstetrics and Gynecology, Hadassah Medical Center, The Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
³ Department of Nephrology and Hypertension, Hadassah Medical Center, The Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Abstract

A 31-year-old woman with end-stage kidney disease and with a bicuspid aortic valve presented with acute heart failure in the second trimester of pregnancy. The patient received a diagnosis of severe aortic stenosis and chose to continue the pregnancy against medical advice. Following a multidisciplinary team consultation, she underwent urgent transcatheter aortic valve replacement.

Keywords: end-stage kidney disease; high-risk pregnancy; severe aortic stenosis; transcatheter aortic valve replacement.

Publication types

Case Reports