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Case Reports
. 2018 Jun 5;10(6):e2748.
doi: 10.7759/cureus.2748.

Subacute Infective Endocarditis of Aortic Valve During Pregnancy

Muhammad Wajih Ullah  1 , Sunita Lakhani  2 , Sunder Sham  3 , Fariha Ashraf  4 , Wardah Siddiq  5 , Tariq Siddiqui  6
Affiliations
Case Reports

Subacute Infective Endocarditis of Aortic Valve During Pregnancy

Muhammad Wajih Ullah et al. Cureus. .

Abstract

Bacterial infective endocarditis is a rare but a life-threatening infection during pregnancy. Infective endocarditis during pregnancy is often associated with a congenital heart condition or an earlier history of rheumatic heart disease. In pregnant women with infective endocarditis, the maternal and fetal mortality rate can reach as high as 33% and 29%, respectively. In most cases, infective endocarditis runs a subacute course and involves the mitral valve, nonetheless, rarely it can involve the aortic valve as well. We are documenting a rare case of subacute infective endocarditis in a 26-year-old pregnant female with severe aortic stenosis with associated multiple systemic emboli. The patient was managed by urgent cesarean section at 35 weeks of gestation followed by aortic valve replacement; there was no maternal or fetal mortality. This case report highlights the importance of early diagnosis, and timely management of infective endocarditis in pregnant women to prevent maternal and fetal death.

Keywords: bicuspid aortic valve; infective endocarditis; pregnancy complications.

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Conflict of interest statement

The authors have declared that no competing interests exist.

References

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