Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous Treatment

Valvular heart disease (VHD) is encountered in approximately 1% of pregnancies, significantly increasing both maternal and foetal risk. Rheumatic VHD remains the most common form in non-Western countries, whereas congenital heart disease dominates in the Western world. The risk of complications vari...

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Main Authors: Chiara Fraccaro, Noemie Tence, Giulia Masiero, Nicole Karam
Format: Article
Language:English
Published: Radcliffe Medical Media 2020-07-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articleindex/icr.2020.06
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author Chiara Fraccaro
Noemie Tence
Giulia Masiero
Nicole Karam
author_facet Chiara Fraccaro
Noemie Tence
Giulia Masiero
Nicole Karam
author_sort Chiara Fraccaro
collection DOAJ
description Valvular heart disease (VHD) is encountered in approximately 1% of pregnancies, significantly increasing both maternal and foetal risk. Rheumatic VHD remains the most common form in non-Western countries, whereas congenital heart disease dominates in the Western world. The risk of complications varies according to the type and severity of the underlying VHD. Moreover, pregnancy is a hypercoagulable state associated with increased risk of thromboembolism. The authors review the main VHDs encountered during pregnancy, and suggest management strategies based on the 2018 European Society of Cardiology recommendations for the management of pregnant women with VHD, providing an overview of classical and new transcatheter structural therapeutic options with a special focus on radiation exposure and anticoagulation drug management.
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institution OA Journals
issn 1756-1477
1756-1485
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publishDate 2020-07-01
publisher Radcliffe Medical Media
record_format Article
series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-a902c31fc5904d3d8d06c2698a2c26592025-08-20T02:37:42ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852020-07-011510.15420/icr.2020.06Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous TreatmentChiara Fraccaro0Noemie Tence1Giulia Masiero2Nicole Karam3Interventional Cardiology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, ItalyMedico-Surgical Heart Valve Unit, Georges Pompidou European Hospital, University of Paris, Paris, FranceInterventional Cardiology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, ItalyMedico-Surgical Heart Valve Unit, Georges Pompidou European Hospital, University of Paris, Paris, FranceValvular heart disease (VHD) is encountered in approximately 1% of pregnancies, significantly increasing both maternal and foetal risk. Rheumatic VHD remains the most common form in non-Western countries, whereas congenital heart disease dominates in the Western world. The risk of complications varies according to the type and severity of the underlying VHD. Moreover, pregnancy is a hypercoagulable state associated with increased risk of thromboembolism. The authors review the main VHDs encountered during pregnancy, and suggest management strategies based on the 2018 European Society of Cardiology recommendations for the management of pregnant women with VHD, providing an overview of classical and new transcatheter structural therapeutic options with a special focus on radiation exposure and anticoagulation drug management.https://www.icrjournal.com/articleindex/icr.2020.06
spellingShingle Chiara Fraccaro
Noemie Tence
Giulia Masiero
Nicole Karam
Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous Treatment
Interventional Cardiology: Reviews, Research, Resources
title Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous Treatment
title_full Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous Treatment
title_fullStr Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous Treatment
title_full_unstemmed Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous Treatment
title_short Management of Valvular Disease During Pregnancy: Evolving Role of Percutaneous Treatment
title_sort management of valvular disease during pregnancy evolving role of percutaneous treatment
url https://www.icrjournal.com/articleindex/icr.2020.06
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AT giuliamasiero managementofvalvulardiseaseduringpregnancyevolvingroleofpercutaneoustreatment
AT nicolekaram managementofvalvulardiseaseduringpregnancyevolvingroleofpercutaneoustreatment