A case of prosthesis-patient mismatch complicating pregnancy
- Resource Type
- Authors
- Gretchen Wells; Jonathan M. Davis; Peter Matthew Belford
- Source
- American journal of perinatology. 24(4)
- Subject
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Developing heart
Pregnancy Complications, Cardiovascular
Prosthesis
Asymptomatic
Pregnancy
Internal medicine
medicine
Humans
Prosthetic valve
Heart Failure
business.industry
Valve prosthesis
Infant, Newborn
Obstetrics and Gynecology
medicine.disease
Late pregnancy
Surgery
Echocardiography
Heart failure
Heart Valve Prosthesis
Pediatrics, Perinatology and Child Health
Cardiology
Mitral Valve
Female
medicine.symptom
business
- Language
- ISSN
- 0735-1631
Prosthesis-patient mismatch occurs when the effective prosthetic valve area is smaller than that of a normal human valve. Its importance in pregnancy is unknown. We describe an asymptomatic patient with higher than normal transvalvular gradients due to prosthesis-patient mismatch who developed congestive heart failure in late pregnancy. Our recommendation is that pregnant patients, particularly those with a small valve prosthesis, undergo serial echocardiography because these patients are at high risk of developing heart failure.