Bicuspid Aortic Valve in Pregnancy Complicated by Aortic Valve Vegetation, Aortic Root Abscess, and Aortic Insufficiency

Authors

Shan He
Christopher A Huynh
Yi Deng
Sandeep Markan
Anvinh Nguyen

Publication Date

12-1-2021

Journal

Cureus

DOI

10.7759/cureus.20209

PMID

35004029

PMCID

PMC8730475

PubMedCentral® Posted Date

12-6-2021

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

infective endocarditis, aortic aneurysm, aortic valve insufficiency, congenital heart defects, bicuspid aortic valve disease

Abstract

A 39-year-old patient presented to our Labor and Delivery unit with fever and nausea in the context of recent bacteriuria. She was found to be in sepsis due to an incidental bicuspid aortic valve (BAV) complicated by aortic valvular vegetations, severe aortic insufficiency, and aortic root abscess, requiring an emergent cesarean section. Three days after delivery, the patient successfully underwent a mechanical aortic valve replacement and root reconstruction. In this case report, medical, surgical, and anesthetic management of parturient patients with BAV are discussed. The management of this congenital valvulopathy and vasculopathy is complicated by the extensive hemodynamic and cardiovascular derangements that occur during pregnancy.