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Chapter 31 - Valvular Heart Disease in Pregnancy

from Section 6 - Cardiopulmonary Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Anita Banerjee ,
Hannah Douglas  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A 32-year-old nulligravida with a history of mitral valve replacement is referred by her cardiologist to your high-risk obstetrics clinic for preconception consultation.

Keywords

Preconception counselingProsthetic, metallic heart valveAntepartum valve thrombosisTherapeutic anticoagulationWarfarin, prenatal risksHeparinsTeratogen, defining criteriaWorld Health Organization (WHO) risk classificationpregnancy heart teamAntepartum, intrapartum, postpartum managementBioprosthetic valveContraception
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 409 - 421
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Aggarwal, SR, Economy, KE, Valente, AM. State of the art management of mechanical heart valves during pregnancy. Curr Treat Options Cardiovasc Med. 2018;20(12):102.Google Scholar
Bhagra, CJ, D’Souza, R, Silversides, CK. Valvular heart disease and pregnancy part II: management of prosthetic valves. Heart. 2017;103(3):244–252.Google Scholar
Daughety, MM, Zilberman-Rudenko, J, Shatzel, JJ, et al. Management of anticoagulation in pregnant women with mechanical heart valves. Obstet Gynecol Surv. 2020;75(3):190–198.CrossRefGoogle ScholarPubMed
D’Souza, R, Ostro, J, Shah, PS, et al. Anticoagulation for pregnant women with mechanical heart valves: a systematic review and meta-analysis. Eur Heart J. 2017;38(19):1509–1516.Google Scholar
Güner, A, Kalçık, M, Gürsoy, MO, et al. Comparison of different anticoagulation regimens regarding maternal and fetal outcomes in pregnant patients with mechanical prosthetic heart valves (from the Multicenter ANATOLIA-PREG Registry). Am J Cardiol. 2020;127:113–119.Google Scholar
Mehta, LS, Warnes, CA, Bradley, E, et al. Cardiovascular considerations in caring for pregnant patients: a scientific statement from the American Heart Association. Circulation. 2020;141(23):e884–e903. [Corrections in Circulation. 2020 Jun 9;141(23):e904; Circulation. 2021 Mar 23;143(12):e792–e793]Google Scholar
Otto, CM, Nishimura, RA, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Thorac Cardiovasc Surg. 2021;162(2):e183–e353.Google Scholar
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–3241.CrossRefGoogle ScholarPubMed
Steinberg, ZL, Dominguez-Islas, CP, Otto, CM, et al. Maternal and fetal outcomes of anticoagulation in pregnant women with mechanical heart valves. J Am Coll Cardiol. 2017;69(22):2681–2691.CrossRefGoogle ScholarPubMed

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