Tromop-van Dalen Chani, Fairley Sarah L, Lodge Jade S
General Medicine Department, Wellington Hospital, Wellington, New Zealand.
Cardiology Department, Wellington Hospital, Wellington, New Zealand.
Obstet Med. 2025 May 19:1753495X251339843. doi: 10.1177/1753495X251339843.
A 35-year-old woman with a bicuspid aortic valve, moderate-severe aortic stenosis and severe aortic dilatation underwent aortic valve and ascending aorta replacement when 14 weeks pregnant. We discuss the risks of aortic dilatation associated with bicuspid aortic valves during pregnancy and options for management. Included is a summary of the management of mechanical valves during pregnancy and delivery. This case emphasises the importance of multi-disciplinary counselling and patient-centred, informed decision making.
一名35岁患有二叶式主动脉瓣、中重度主动脉瓣狭窄和严重主动脉扩张的女性，在怀孕14周时接受了主动脉瓣和升主动脉置换术。我们讨论了怀孕期间与二叶式主动脉瓣相关的主动脉扩张风险以及管理方案。其中包括孕期和分娩期间机械瓣膜管理的总结。该病例强调了多学科咨询以及以患者为中心的知情决策的重要性。
