Unicuspid Aortic Valve With Severe Aortic Stenosis and Progressive Heart Failure During Pregnancy

Angela M Quain; Elizabeth Langen; Mark D Norris; Timothy B Cotts; Devraj Sukul; Vikram Sood; Michael R Joynt

doi:10.1016/j.jaccas.2023.102129

Unicuspid Aortic Valve With Severe Aortic Stenosis and Progressive Heart Failure During Pregnancy

JACC Case Rep. 2023 Dec 20:28:102129. doi: 10.1016/j.jaccas.2023.102129.

Authors

Angela M Quain^{1

2}, Elizabeth Langen³, Mark D Norris^{1

2}, Timothy B Cotts^{1

2}, Devraj Sukul², Vikram Sood¹, Michael R Joynt^{1

2}

Affiliations

¹ University of Michigan Congenital Heart Center, Ann Arbor, Michigan, USA.
² Department of Cardiovascular Disease, University of Michigan, Ann Arbor, Michigan, USA.
³ Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.

Abstract

A 39-year-old gravida 7 para 6 woman with unicuspid aortic valve and severe symptomatic stenosis was admitted to the hospital at 15 weeks gestation. We describe maternal cardiovascular complications and their implication on obstetric and fetal care. We also describe our multidisciplinary approach to caring for this complex patient.

Keywords: aortic stenosis; high-risk pregnancy; unicuspid aortic valve.

Publication types

Case Reports