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Percutaneous balloon pulmonary valvuloplasty in a pregnant woman with severe pulmonary valve restenosis
  1. Dilip Johny1,
  2. Kodangala Subramanyam1,
  3. Sanjana Shivanand2 and
  4. Vishanthika Rajamony2
  1. 1Department of Cardiology, KS Hegde Medical Academy, Mangalore, India
  2. 2Department of General Medicine, KS Hegde Medical Academy, Mangalore, India
  1. Correspondence to Dr Dilip Johny; johnydilip{at}gmail.com

Abstract

A 34-year-old woman, a known case of valvular heart disease, post balloon pulmonary valvuloplasty done 8 years ago during her first pregnancy, presented with progressive exertional breathlessness with New York Heart Association class III symptoms in her third trimester of pregnancy. On examination, she had features of right heart failure. ECG showed right axis deviation, right ventricular hypertrophy with strain pattern. Transthoracic echocardiography showed severe pulmonary valve stenosis, right ventricular hypertrophy, right ventricular and atrial dilatation with reduced right ventricular function. As the patient was symptomatic, she underwent percutaneous balloon pulmonary valvuloplasty. The procedure was successful with a significant reduction in the pulmonary valve gradient and the patient was discharged in stable condition with reduced symptoms. The timely intervention of the valvular stenotic lesion in pregnancy reduces the mortality risk to both the mother and the fetus.

  • valvar diseases
  • interventional cardiology
  • cardiovascular system
  • pregnancy

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Footnotes

  • Contributors DJ: patient management, data acquisition, data analysis, figures and videos creation, and manuscript editing and review. SK: overall patient management, percutaneous intervention and manuscript editing and review. SS and VR: patient management and data acquisition.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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