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Current Cardiology Reports

, 19:96 | Cite as

Congenital and Acquired Valvular Heart Disease in Pregnancy

  • Sarah A. GoldsteinEmail author
  • Cary C. Ward
Valvular Heart Disease (T Kiefer, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Valvular Heart Disease

Abstract

Purpose of 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.

Recent Findings

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.

Summary

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.

Keywords

Valvular heart disease Structural heart disease Congenital heart disease Rheumatic heart disease Pregnancy 

Notes

Compliance with Ethical Standards

Conflict of Interest

Sarah A. Goldstein and Cary C. Ward declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Duke University Medical CenterDurhamUSA

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