Percutaneous triple‐valve balloon valvuloplasty in a pregnant woman

Abstract

A 22-yr-old pregnant woman with mitral, aortic, and tricuspid stenosis presented with accelerating dyspnea and shortness of breath at the end of her first trimester. She subsequently underwent percutaneous triple-valve balloon valvuloplasty at 22 weeks of gestation without complications and achieved marked clinical improvement. We conclude that percutaneous triple-valve balloon valvuloplasty represents an alternative treatment for mitral, aortic, and tricuspid stenosis in pregnant women with compromised cardiovascular status who do not wish to terminate their pregnancy.

Concurrent balloon dilatation of rheumatic trivalvular stenosis

“…A second case illustrated by Savas ei al. [ 5 ] has described the dilatation of the same three valves in a pregnant patient. They also followed the same sequence of tackling the mitral the tricuspid and aortic valves.…”

“…Percutaneous valvuloplasty has been separately used for tricuspid stenosis and aortic stenosis. However there are only isolated case reports of simultaneous triple valve balloon valvuloplasty [4,5]. This case report describes the dilatation of the tricuspid, mitral, and aortic valves, in the presence of atrial fibrillation.…”

Recurrent miscarriages as an indication for percutaneous tricuspid valvuloplasty during pregnancy

“…Percutaneous balloon valvotomy has been utilized to relieve stenosis of the mitral [4], aortic [5], and tricuspid [6] valves. To our knowledge, there has been only one previous report of tricuspid valvuloplasty during pregnancy performed together with a successful mitral and aortic valvuloplasty, but this did not result in significant hemodynamic improvement [7].…”

Balloon aortic valvotomy in pregnancy

“…Therefore, the alternative intervention is balloon aortic valvotomy. This was first reported during pregnancy in 1988 6 and there has been limited published experience since that time with a few case reports 8–11 (Table 1). There have been no fetal deaths in these selected cases.…”