Title : Rheumatic valve disease in pregnant women-An interesting case managed in two continents
Abstract:
Rheumatic fever is the most common cause of mitral stenosis and carries a high degree of morbidity in pregnant females adverse foetal outcomes are associated with mitral stenosis in pregnancy. Pathophysiology, symptoms and diagnosis of rheumatic valve stenosis during pregnancy and management during pregnancy will be discussed. Diagnostic workup will be discussed with demonstration of TOE images and typical findings on imaging will be discussed. Workup for surgery will be discussed and surgical options will be discussed. Overall the pathophysiology, presentation, management during pregnancy and after pregnancy, diagnostic workup, and treatment options will be discussed. Diagnostic images will be included. The importance of diagnosis of rheumatic valve disease will be discussed especially in countries where rheumatic fever is not endemic but cases can present due to extensive travelling and migration in the recent era.
Audience Take Away Notes
- A case presentation of a young lady who recently moved to UK and had symptoms during her visit to home country during pregnancy and was managed initially in the home country and later in the UK.
- Audience will learn the pathophysiology of mitral stenosis and diagnostic workup and treatment options. With the expansion in travel and migration across the globe, the diagnosis of mitral valve stenosis in pregnant patients is more important and early identification and treatment can reduce maternal and foetal adverse outcomes, especially in countries where rheumatic valve disease is not common.
- Patients remains asymptomatic and present during pregnancy. Shortness of breath can be due to multiple factors in pregnancy but a consideration to rule out mitral valve disease and thorough history can be helpful diagnosis can have a significant impact on pregnancy and needs extensive planning and pre-conceptual counselling for next pregnancy.
- Valvular heart disease in the younger population is a topic of interest to cardiologists, obstetricians and cardiac surgeons and is a learning opportunity for multiple specialities as it is not a common presentation, there is a lot of room to learn from real-life experiences.
- There will be TOE images in the presentation and a diagnostic workup plan for the audience to learn from the case presentation.
- Learning from this case presentation will help in reminding clinicians to include Mirtal valve stenosis, especially in patients with travel history or migration from endemic areas.
