Transcatheter Pulmonary Valve Performance During Pregnancy and the Postpartum Period

Abstract

Increasing numbers of women with congenital heart disease are undergoing pregnancy after transcatheter pulmonary valve replacement (TPVR). We present the course of 9 pregnancies in 7 women with TPVR, noting pre-pregnancy, antepartum, and postpartum gradients, as well as maternal cardiac, obstetric, and neonatal outcomes. ( Level of Difficulty: Intermediate. )

Transcatheter Pulmonary Valve Prosthesis and Pregnancy

“…In conclusion, the study by Duarte et al. ( 5 ) is indeed reassuring and shows that pregnancy in women with well-functioning TPVR is well tolerated by the mother, although the underlying CHD may predispose to slow fetal growth and pre-term labor. Expert led pre-conception risk stratification, counseling and involvement of a pregnancy heart team remain integral to safe management ( 10 ).…”

“…In this issue of JACC: Case Reports , Duarte et al. ( 5 ) present results from 9 pregnancies in 7 women with CHD, who have undergone TPVR prior to pregnancy. They report the effect of pregnancy on valve hemodynamics, assessed by echocardiography, and report on maternal cardiac and obstetric and neonatal outcomes.…”

Multimodality Imaging in Valvular Structural Interventions

“…68,69 It is also useful in patients who cannot undergo open-heart surgery, such as pregnant women. 70 TTE and TEE remain the first-line imaging modalities for the assessment of transcatheter gradient or evidence of patient prosthesis mismatch.…”

“…[ 68 , 69 ] It is also useful in patients who cannot undergo open-heart surgery, such as pregnant women. [ 70 ]…”