ArticleJACC. Case reports2025
Severe Aortic Valve Stenosis During Pregnancy: Role of Multidisciplinary Pregnancy Heart Team to Guide Decision-Making.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPregnant women with underlying cardiovascular disease are at an increased risk of maternal-fetal morbidity and mortality especially in the setting of symptomatic stenotic valvular heart disease. CASE SUMMARY: A 35-year-old female at 17 weeks gestation presented to the emergency department with exertional dyspnea for 3 months and was diagnosed with decompensated heart failure. Echocardiogram demonstrated left ventricular ejection fraction of 45% with severe aortic valve stenosis and moderate aortic regurgitation. A multidisciplinary pregnancy heart team recommended urgent surgical aortic valve replacement prior to fetal maturity. DISCUSSION: Hemodynamic changes in pregnancy, such as increased blood volume and heart rate, may unmask asymptomatic cardiovascular disease. Specifically, increased blood volume during pregnancy is poorly tolerated in patients with stenotic valvular disease and may result in NYHA functional class III or IV heart failure. TAKE-HOME MESSAGE: Cardiovascular comorbidities in pregnant women require careful evaluation by a multidisciplinary pregnancy heart team to determine optimal timing and approach for intervention.
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