Transcatheter Pulmonary Valve Performance During Pregnancy and the Postpartum Period

Valeria E Duarte; Julia A Graf; Audrey C Marshall; Katherine E Economy; Anne Marie Valente

doi:10.1016/j.jaccas.2020.02.029

Transcatheter Pulmonary Valve Performance During Pregnancy and the Postpartum Period

JACC Case Rep. 2020 Jun 17;2(6):847-851. doi: 10.1016/j.jaccas.2020.02.029. eCollection 2020 Jun.

Authors

Valeria E Duarte^{1

2

3}, Julia A Graf¹, Audrey C Marshall⁴, Katherine E Economy⁵, Anne Marie Valente^{1

2}

Affiliations

¹ Department of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
² Division of Cardiology, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
³ Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas.
⁴ Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
⁵ Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

Abstract

Increasing numbers of women with congenital heart disease are undergoing pregnancy after transcatheter pulmonary valve replacement (TPVR). We present the course of 9 pregnancies in 7 women with TPVR, noting pre-pregnancy, antepartum, and postpartum gradients, as well as maternal cardiac, obstetric, and neonatal outcomes. (Level of Difficulty: Intermediate.).

Keywords: CHD, congenital heart disease; PR, pulmonary regurgitation; PS, pulmonary stenosis; PVR, pulmonary valve replacement; RVOT, right ventricular outflow tract; TPVR, transcatheter pulmonary valve replacement; congenital heart defect; pregnancy; pulmonic valve; tetralogy of Fallot; valve replacement.

Publication types

Case Reports