Archives of the Turkish Society of Cardiology
Pulmonary Balloon Valvuloplasty In A Pregnant Woman With Severe Pulmonary Stenosis [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-55136 | DOI: 10.5543/tkda.2018.55136

Pulmonary Balloon Valvuloplasty In A Pregnant Woman With Severe Pulmonary Stenosis

Yusuf Ziya Şener, Levent Şahiner, Metin Okşul, Ergün Barış Kaya, Kudret Aytemir
Hacettepe University Faculty of Medicine, Cardiology Department

Pulmonary valvular stenosis is a rare valvular disease and it accounts for 7-12% of all patients with congenital heart disease. Patients with mild and moderate pulmonary stenosis are usually asymptomatic and pulmonary stenosis is detected incidentally by echocardiography which was performed for another reason. Severe pulmonary stenosis presents with symptoms related with increased right ventricular pressure and right heart failure. Valvular heart diseases are associated with increased morbidity and mortality rates in pregnancy due to cardiovascular alterations during gestational period including increased extracellular volume, rise in heart rate and decreased venous return owing to the compression of vena cava inferior by enlarged uterus. While mild and moderate pulmonary stenosis can be well tolerated in pregnancy, severe pulmonary stenosis can lead maternal and fetal perinatal complications. Herein we present a pregnant patient with severe pulmonary stenosis who underwent balloon valvuloplasty in third trimester.

Keywords: Pregnancy, Pulmoner Stenosis, Balloon Valvuloplasty

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Corresponding Author: Yusuf Ziya Şener, Türkiye
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