Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure

Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure Publisher

Kahrom M¹ ; Ahmadi M² ; Mottahedi B¹ ; Tabari M³ ; Vatanchi A⁴ ; Paravi N³ ; Ghaderi H⁵

Show Affiliations

1. Department of Cardiovascular Surgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2. Department of Cardiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3. Department of Anesthesiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4. Department of Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5. Department of Cardiovascular Surgery, Chamran Heart Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: ARYA Atherosclerosis Published:2018

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. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.

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Style	Citing Format
MLA	Kahrom M, et al.. "Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure." ARYA Atherosclerosis, vol. 14, no. 1, 2018, pp. 38-40.
APA	Kahrom M, Ahmadi M, Mottahedi B, Tabari M, Vatanchi A, Paravi N, Ghaderi H (2018). Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure. ARYA Atherosclerosis, 14(1), 38-40.
Chicago	Kahrom M, Ahmadi M, Mottahedi B, Tabari M, Vatanchi A, Paravi N, Ghaderi H. "Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure." ARYA Atherosclerosis 14, no. 1 (2018): 38-40.
Harvard	Kahrom M et al. (2018) 'Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure', ARYA Atherosclerosis, 14(1), pp. 38-40.
Vancouver	Kahrom M, Ahmadi M, Mottahedi B, Tabari M, Vatanchi A, Paravi N, et al.. Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure. ARYA Atherosclerosis. 2018;14(1):38-40.
BibTex	@article{ author = {Kahrom M and Ahmadi M and Mottahedi B and Tabari M and Vatanchi A and Paravi N and Ghaderi H}, title = {Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure}, journal = {ARYA Atherosclerosis}, volume = {14}, number = {1}, pages = {38-40}, year = {2018} }
RIS	TY - JOUR AU - Kahrom M AU - Ahmadi M AU - Mottahedi B AU - Tabari M AU - Vatanchi A AU - Paravi N AU - Ghaderi H TI - Unusual Management of Parturient Patient With Severe Bicuspid Aortic Valve Stenosis and Congestive Heart Failure JO - ARYA Atherosclerosis VL - 14 IS - 1 SP - 38 EP - 40 PY - 2018 ER -

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