Publication:

Successful management of pregnancy with dual mechanical heart valves: a case report

Incidence of cardiovascular diseases in pregnancy is increasing due to advanced maternal age at first conception and frequent association of comorbid chronic medical conditions. Rheumatic heart diseases comprise 56-89% of all CVDs in pregnancy in non-western countries. Management of pregnant women with mechanical valves is very challenging due to high risk of cardiac and non-cardiac complications either due to heart disease itself or changes in hemodynamics during pregnancy or due to anticoagulant therapy. We presented here a case of a 35-year-old pregnant woman with rheumatic heart disease with dual mechanical (aortic and mitral) valve replacement who was managed successfully by our team of expert clinicians with intensive antepartum surveillance with good obstetric outcome. It is very important for managing clinicians to have necessary information about high-risk cardiovascular diseases during pregnancy along with their management and treatment related feto-maternal complications in order to have optimal feto-maternal outcome.