NYMC Faculty Publications
Aortic Valve-Sparing Reimplantation and Mitral Repair in a Pregnant, Second Trimester Marfan Patient: Surgical Decision
Author Type(s)
Faculty
DOI
10.1016/j.athoracsur.2012.06.049
Journal Title
The Annals of Thoracic Surgery
First Page
701
Last Page
703
Document Type
Article
Publication Date
2-1-2013
Department
Surgery
Keywords
Aortic Aneurysm, Thoracic, Aortic Valve, Cardiac Surgical Procedures, Elective Surgical Procedures, Female, Humans, Marfan Syndrome, Mitral Valve, Mitral Valve Insufficiency, Pregnancy, Pregnancy Complications, Cardiovascular, Pregnancy Trimester, Second, Young Adult
Disciplines
Medicine and Health Sciences
Abstract
We describe a combined aortic valve-sparing reimplantation procedure and mitral valve repair in a 20-year-old pregnant Marfan patient who presented at 12 weeks' gestation with an asymptomatic 5.3-cm aortic root aneurysm and moderate mitral regurgitation. Because the risk of aortic dissection and worsening mitral regurgitation becomes significant in the third trimester, elective intervention was undertaken at 14 weeks' gestation. The mother recovered uneventfully, and the baby was delivered at term by cesarean section. This case supports early elective surgery in pregnant Marfan patients with aortic and mitral diseases to avoid potentially fatal cardiovascular complications later in the pregnancy.
Recommended Citation
Tang, G. H., Malekan, R., Lansman, S., & Spielvogel, D. (2013). Aortic Valve-Sparing Reimplantation and Mitral Repair in a Pregnant, Second Trimester Marfan Patient: Surgical Decision. The Annals of Thoracic Surgery, 95 (2), 701-703. https://doi.org/10.1016/j.athoracsur.2012.06.049
