Transcatheter mitral valve-in-valve for pregnancy with anti-phospholipid syndrome: a case report

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2024年6月19日

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Zhenzhong Wang,
Yuxin Li,
Shuo Xiao,
Qiuji Wang,
Zhaolong Zhang,
Fengzhen Han,
Huanlei Huang

摘要

Background

Perioperative management and cardiac surgery in pregnant women with anti-phospholipid syndrome combined with heart valve disease have been rarely reported.

Case presentation

We describe a case of transcatheter mitral valve-in-valve replacement in a pregnant woman with bioprosthetic valve failure and anti-phospholipid syndrome at 18 weeks’ gestation. The patient underwent a cesarean section delivery at 34 weeks of gestation, resulting in the birth of a healthy baby.

Conclusions

Transapical mitral valve-in-valve surgery resulted in safe maternal and infant outcomes in a pregnant woman with anti-phospholipid syndrome combined with mitral bioprosthetic valve failure. The success of this procedure underscored the importance of multidisciplinary teamwork.