A Cardio-Obstetric Approach to Management of the Complex Pregnant Cardiac Patient

Amanda K. Verma, MD; Dominique Williams, MD; D. Michael Nelson, MD, PhD; Rashmi Rathor, MD; Amber Benhardt, MD; Murali Chakinala, MD; Marc Moon, MD; Kunal Kotkar, MD; Carl J. Pepine, MD; Kathryn J. Lindley, MD

JACC: Case Reports (Jan 2020)

A Cardio-Obstetric Approach to Management of the Complex Pregnant Cardiac Patient

Amanda K. Verma, MD,
Dominique Williams, MD,
D. Michael Nelson, MD, PhD,
Rashmi Rathor, MD,
Amber Benhardt, MD,
Murali Chakinala, MD,
Marc Moon, MD,
Kunal Kotkar, MD,
Carl J. Pepine, MD,
Kathryn J. Lindley, MD

Affiliations

Amanda K. Verma, MD: Cardiovascular Division, Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri; Address for correspondence: Dr. Amanda K. Verma, Washington University School of Medicine in St. Louis, Department of Medicine, Cardiovascular Division, 660 South Euclid Avenue, Campus Box 8086, St. Louis, Missouri 63110.
Dominique Williams, MD: Cardiovascular Division, Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri
D. Michael Nelson, MD, PhD: Division of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St. Louis, Missouri
Rashmi Rathor, MD: Division of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, Missouri
Amber Benhardt, MD: Division of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, Missouri
Murali Chakinala, MD: Division of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri
Marc Moon, MD: Division of Cardiothoracic Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri
Kunal Kotkar, MD: Division of Cardiothoracic Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri
Carl J. Pepine, MD: Division of Cardiovascular Medicine, College of Medicine, University of Florida, Gainesville, Florida
Kathryn J. Lindley, MD: Cardiovascular Division, Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, Missouri

Journal volume & issue: Vol. 2, no. 1
pp. 86 – 90

Abstract

Read online

A 23-year-old female presented at 28.5 weeks gestation with symptomatic heart failure due to severe mitral stenosis and severe pulmonary arterial hypertension. After multidisciplinary planning, she underwent caesarean delivery with mitral valve replacement 48 h postpartum. Cardio-obstetric teams provide expert coordinated care for complex cardiovascular disease in pregnancy. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

Keywords