Author/Authors :
Kahrom, Mahdi Department of Cardiovascular Surgery - School of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Ahmadi, Mostafa Department of Cardiology - School of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Mottahedi, Behrooz Department of Cardiovascular Surgery - School of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Tabari, Masoomeh Department of Anesthesiology - School of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Vatanchi, Atieh Department of Gynecology - School of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Paravi, Naser Department of Anesthesiology - School of Medicine - Mashhad University of Medical Sciences, Mashhad, Iran , Ghaderi, Hamid Department of Cardiovascular Surgery - Chamran Heart Center - Isfahan University of Medical Sciences, Isfahan, Iran
Abstract :
BACKGROUND: Critical aortic stenosis (AS) is an unusual cardiac pathology in pregnancy, but
has significant impact on the fetal and maternal outcomes of pregnancy. Pregnant patients with
aortic stenosis and heart failure represent a major challenge for the heart team and
anesthesiologist who should balance the risks and benefits of different treatment strategies and
their effects on the mother and fetus.
CASE REPORT: We present a 26-year-old parturient who underwent cesarean section at
30 weeks of gestation under general anesthesia in the presence of cardiac surgical team followed
by deferred aortic valve replacement after two weeks.
CONCLUSION: This report describes the importance of multidisciplinary preoperative
evaluation, and careful surgical and anesthetic planning to avoid the deterioration of
perioperative cardiac condition in such patients.
Keywords :
Congestive Heart Failure (CHF) , Aortic Valve Replacement (AVR) , Bicuspid Aortic Valve (BAV) , Aortic Stenosis (AS) , Pregnancy
