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https://www.ecrjournal.com/articles/Pregnancy-Congenital-Aortic-Valve-Stenosis
» Risk of Complications During Pregnancy in Women with Congenital Aortic Valve Stenosis; Risk of Complications During Pregnancy in Women with Congenital Aortic Valve Stenosis . Els Troost. Werner Budts. ... Hemodynamic monitoring during labor and delivery is strongly recommended in women with moderate to severe aortic valve stenosis.
http://www.heartdiseaseandpregnancy.com/phy_as_ms.html
Cardiopulmonary bypass surgery for aortic valve replacement during pregnancy carries a high risk of fetal loss. All women with congenital AS should be offered fetal echocardiography at 20 weeks gestation. Labour and Delivery Labor and delivery should be planned carefully with a …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374811/
Suntharalingam et al. used the low dose technique with 0.1% bupivacaine and fentanyl and concluded that epidural analgesia may be used for delivery in aortic stenosis with close hemodynamic monitoring. The goals of management for patients with mitral and aortic stenosis are: Maintain sinus rhythm. Avoid both tachycardia and bradycardia.
https://www.uptodate.com/contents/pregnancy-and-valve-disease
INTRODUCTION. Hemodynamic changes during pregnancy, including increases in heart rate, stroke volume, and cardiac output (see "Maternal adaptations to pregnancy: Cardiovascular and hemodynamic changes"), can result in cardiac decompensation in women with valvular heart disease (VHD).Stenotic valve lesions are generally less well tolerated during pregnancy compared with regurgitant lesions.
https://www.acc.org/latest-in-cardiology/articles/2018/02/12/07/29/valvular-heart-disease-in-pregnancy
Feb 12, 2018 · Given the complexity of valvular heart disease in pregnancy, ... During labor and delivery, maternal hemodynamics are influenced by an array of factors, including response to pain, method of delivery, and analgesia. ... Left-sided obstructive lesions include aortic stenosis (AS) (subvalvular or valvular), coarctation of the aorta and mitral ...
https://www.mottchildren.org/conditions-treatments/peds-fetal-medicine/prenatal-care-aortic-stenosis
Delivery of babies with aortic stenosis. Unless there is a special birth plan, a vaginal delivery is recommended and a cesarean section is reserved for obstetric indications. It is recommended that the delivery is planned at a hospital that is prepared for high-risk deliveries and also includes a neonatal intensive care, pediatric cardiology ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955531/
Aug 11, 2006 · Labour and delivery. In a woman with valvular disease, a short and pain‐free labour and delivery helps to minimise haemodynamic fluctuation. Particularly with severe left‐sided valve stenosis, the rapid changes in heart rate, cardiac output, venous return and vascular resistance are difficult to manage, often requiring haemodynamic ...Author: Karen K Stout, Catherine M Otto
https://www.sciencedirect.com/science/article/pii/S0914508712003139
During labor and delivery, cardiac output is further increased as a result of uterine contractions and maternal effort . After delivery, most changes are rapidly reversed in the first 2 weeks with further normalization toward preconception values after 3–12 months. Fig. 1 shows the hemodynamic changes. However, some structural changes might ...Author: Titia P.E. Ruys, Jérôme Cornette, Jolien W. Roos-Hesselink
http://www.onlinejacc.org/content/46/2/223
Jul 19, 2005 · The presence of valvular heart disease (VHD) due to both congenital and acquired etiologies in a pregnant patient continues to pose a challenge to clinicians and their patients ().This condition increases the risk of pregnancy to both the mother and the fetus and requires specific care to avoid or at least minimize maternal morbidity and mortality and assure fetal well-being.Author: Uri Elkayam, Fahed Bitar
http://rwjms1.umdnj.edu/shindler/aspreg.html
Severe aortic stenosis may potentiate sudden life threatening complications during pregnancy. We report a case of successful percutaneous balloon aortic valvuloplasty in a pregnant patient with severe symptomatic aortic stenosis due to congenital bicuspid aortic valve at 14 weeks' gestation.
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