Open AccessValvular Heart Disease in Pregnancy
Author(s) -
Anna E. Bortnick,
Lisa D. Levine
Publication year - 2020
Publication title -
clinical obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.927
H-Index - 75
eISSN - 1532-5520
pISSN - 0009-9201
DOI - 10.1097/grf.0000000000000570
Subject(s) - medicine , valvular heart disease , heart disease , pregnancy , fetus , stenosis , disease , cardiology , maternal fetal medicine , fetal heart , obstetrics , obstetrics and gynaecology , genetics , biology
The number of reproductive age women with valvular heart disease is rising and accounts for one third of all heart disease among pregnant women. Severe, symptomatic left-sided cardiac lesions, particularly mitral and aortic stenosis, and mechanical heart valves, are associated with adverse maternal and fetal outcomes. Decreasing maternal and fetal risk requires shared decision-making among patients and the heart team, consisting of obstetricians, maternal-fetal medicine subspecialists, and cardiologists.