Congenital and Acquired Valvular Heart Disease in Pregnancy.


Journal Article (Review)

The number of pregnancies complicated by valvular heart disease is increasing. This review describes the hemodynamic effects of clinically important valvular abnormalities during pregnancy and reviews current guideline-driven management strategies.Valvular heart disease in women of childbearing age is most commonly caused by congenital abnormalities and rheumatic heart disease. Regurgitant lesions are well tolerated, while stenotic lesions are associated with a higher risk of pregnancy-related complications. Management of symptomatic disease during pregnancy is primarily medical, with percutaneous interventions considered for refractory symptoms. Most guidelines addressing the management of valvular heart disease during pregnancy are based on case reports and observational studies. Additional investigation is required to further advance the care of this growing patient population.

Full Text

Duke Authors

Cited Authors

  • Goldstein, SA; Ward, CC

Published Date

  • August 24, 2017

Published In

Volume / Issue

  • 19 / 10

Start / End Page

  • 96 -

PubMed ID

  • 28840470

Pubmed Central ID

  • 28840470

Electronic International Standard Serial Number (EISSN)

  • 1534-3170

International Standard Serial Number (ISSN)

  • 1523-3782

Digital Object Identifier (DOI)

  • 10.1007/s11886-017-0910-6


  • eng