University of California, San Diego, San Diego, California, US.
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):13-23. doi: 10.14797/mdcvj.1323. eCollection 2024.
Valvular heart disease is a common cause of peripartum cardiovascular morbidity and mortality. The hemodynamic changes of pregnancy and their impact on preexisting valvular lesions are described in this paper. Tools for calculation of maternal and fetal risk during pregnancy are also discussed. The pathophysiology and management of valvular lesions, both obstructive and regurgitant, are then described, followed by discussion of mechanical and bioprosthetic valve complications during pregnancy.
瓣膜性心脏病是围产期心血管发病率和死亡率的常见原因。本文描述了妊娠期间的血液动力学变化及其对先前存在的瓣膜病变的影响。还讨论了妊娠期间计算母婴风险的工具。然后描述了瓣膜病变（包括阻塞性和反流性）的病理生理学和处理方法，接着讨论了妊娠期间机械和生物瓣并发症。
