Cardiac disease and pregnancy: hyper vigilance and extreme caution for optimal outcome

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Date
2020-02
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Cardiac disease in pregnancy is a leading cause of maternal death in more so high-income countries. The armamentarium for winning this difficult battle involves shared decision-making with communication across the clinical team and the patient. There is limited clinical evidence concerning effective approaches to managing such complex care and moreover involvement of different specialists makes coordinated care challenging. Bicuspid aortic valve (BAV) is the most common congenital cardiac malformation, occurring in 1-2% of the population whereas a single ventricle is a rare congenital heart disease that accounts for less than 1% of all congenital heart diseases. We had two cases of pregnancy with bicuspid aortic valve in one case and the other with single ventricle. The involvement of multidisciplinary team involving cardiologist, cardiothoracic anaesthetist and fetal maternal medicine specialist resulted in good maternal and fetal outcome in both the cases.
Description
Keywords
Bicuspid aortic valve, Multidisciplinary team, Single ventricle
Citation
Dhawan Naresh, Kumar Rohin, Bhatt Reema Kumar. Cardiac disease and pregnancy: hyper vigilance and extreme caution for optimal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Feb; 9(2): 825-827