Treatment of valvular heart disease during pregnancy for improving maternal and neonatal outcome

Pregnancy Complicated by Valvular Heart Disease: An Update

“…However, the optimal treatment pathway to improve maternal and fetal outcomes, whether medical or interventional, remains unclear. 37 A brief review of the medical therapies used during pregnancy for heart failure symptoms can be found in Table 3 . 38 A more comprehensive review of medical therapies used in pregnancy is discussed in the most recent ESC guidelines on the management of cardiovascular disease during pregnancy.…”

Reproductive Health in Congenital Heart Disease: Preconception, Pregnancy, and Postpartum

“…Valvular heart disease constitutes the majority of heart disease in pregnancy. CHD and rheumatic heart disease are major causes [23]. By and large, regurgitation is better tolerated than stenosis because valvular regurgitation allows for an increase in forward stroke volume during stress states as well as the low vascular resistance state.…”

“…Balloon mitral valvuloplasty may not be possible in patients with CHD, but aortic valvuloplasty is commonly undertaken in this population. Favorable maternal outcomes have been observed with balloon valvuloplasty [23]. In the current era, transcatheter valve replacement can be performed.…”