Preconception Counseling in a Patient With a Mechanical Aortic Valve and Recent Ischemic Stroke

Kristen E Wong; Alan C Braverman; Tsuyoshi Kaneko; Alan Zajarias; Amanda K Verma

doi:10.1016/j.jaccas.2023.102045

Preconception Counseling in a Patient With a Mechanical Aortic Valve and Recent Ischemic Stroke

JACC Case Rep. 2023 Dec 6:27:102045. doi: 10.1016/j.jaccas.2023.102045.

Authors

Kristen E Wong¹, Alan C Braverman¹, Tsuyoshi Kaneko², Alan Zajarias¹, Amanda K Verma¹

Affiliations

¹ Cardiovascular Division, Department of Medicine, Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
² Cardiothoracic Surgery Division, Department of Surgery, Washington University in St Louis School of Medicine, St Louis, Missouri, USA.

Abstract

A 31-year-old woman with a mechanical aortic valve for congenital aortic stenosis presented to the cardiology clinic for preconception counseling. After experiencing an acute stroke 4 weeks prior, she was subsequently discovered to have prosthetic valve thrombosis requiring replacement of the aortic valve. We discuss her clinical course and preconception considerations.

Keywords: aortic valve; cardiac risk; echocardiography; pregnancy; thrombosis; valve replacement.

Publication types

Case Reports