CLINICAL CASE OF AORTIC STENOSIS IN A PREGNANT PATIENT: IN SEARCH OF THE BEST SOLUTION

Highlights

Pathology of the aortic valve and aorta occupies a special place among extragenital pathology and is accompanied by high risks of complications, maternal and infant mortality in both the perinatal and intranatal periods. There are various ways to correct this pathology: surgical and transcatheter replacement of the aortic valve, and balloon valvuloplasty. However, there is no unified opinion regarding the preferable methods and timing of surgical correction of aortic stenosis in a pregnant woman, and all available data, due to the lack of large randomized trials and registries, are based on the opinion of experts and reports from centers.

Abstract

The article describes a rare case of transcatheter aortic valve implantation in a pregnant patient with severe aortic stenosis. The research methods included anamnestic analysis, ultrasound examination and computed tomography. Specialists used transcatheter implantation to treat the disease. Due to the rarity of the disease, the high risks of both maternal and infant mortality, and the lack of recommendations in the literature regarding the management of this category of patients based on large randomized trials, we present our own experience of a rare case of transcatheter aortic valve implantation in a pregnant patient.

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