Pregnancy After Transcatheter Pulmonary Valve Implantation

Noteworthy Literature published in 2017 for Congenital Cardiac Anesthesiologists

“…Kozicka and colleagues from Poland provide what may be the first report of 4 women with CHD who become pregnant after TCPVR. 78 There were no maternal or fetal adverse events. They did not find a significant increase in pulmonary gradient or progression of pulmonary regurgitation.…”

Pregnancy-related cardiac non-elective hospitalizations and pregnancy outcomes. A tertiary referral cardiac center experience

“…The hospital stay was significantly longer in patients with cardiovascular events (median [Q1-Q3]: 4 [2][3][4][5][6] days vs 3 [2][3][4][5] days in patients without cardiovascular events, P = 0.001).…”

Transcatheter Pulmonary Valve Performance During Pregnancy and the Postpartum Period

“…Women with prior RVOT interventions are able to complete pregnancy with low risk of mortality, but with increased risk for arrhythmias and heart failure ( 6 ). There is a paucity of published data regarding the performance of TPVR in pregnant women ( 7 ). The increased cardiac output associated with pregnancy would be expected to result in higher gradients across the fixed pulmonary valve.…”