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Case Reports
. 2024 Jun 19;19(1):335.
doi: 10.1186/s13019-024-02702-1.

Transcatheter mitral valve-in-valve for pregnancy with anti-phospholipid syndrome: a case report

Zhenzhong Wang  1 , Yuxin Li  1 , Shuo Xiao  1 , Qiuji Wang  1 , Zhaolong Zhang  1 , Fengzhen Han  2 , Huanlei Huang  3
Affiliations
Case Reports

Transcatheter mitral valve-in-valve for pregnancy with anti-phospholipid syndrome: a case report

Zhenzhong Wang et al. J Cardiothorac Surg. .

Abstract

Background: Perioperative management and cardiac surgery in pregnant women with anti-phospholipid syndrome combined with heart valve disease have been rarely reported.

Case presentation: We describe a case of transcatheter mitral valve-in-valve replacement in a pregnant woman with bioprosthetic valve failure and anti-phospholipid syndrome at 18 weeks' gestation. The patient underwent a cesarean section delivery at 34 weeks of gestation, resulting in the birth of a healthy baby.

Conclusions: Transapical mitral valve-in-valve surgery resulted in safe maternal and infant outcomes in a pregnant woman with anti-phospholipid syndrome combined with mitral bioprosthetic valve failure. The success of this procedure underscored the importance of multidisciplinary teamwork.

Keywords: Anti-phospholipid syndrome; Pregnancy; Transcatheter mitral valve-in-valve.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Preoperative transthoracic echocardiogram: The top left corner shows the measured reflux area of 8.1cm2
Fig. 2
Fig. 2
Fluoroscopic image depicting (A) transesophageal echocardiogram probe, (B) 25 mm J-valve, and (C) mitral bioprosthetic valve failure
Fig. 3
Fig. 3
Postoperative transesophageal echocardiogram showed no significant mitral regurgitation
See this image and copyright information in PMC

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