DOCSLIB.ORG

Transcatheter Heart Valve Replacement

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Transcatheter Heart Valve Replacement For Patients With a Failing Surgical Bioprosthetic Heart Valve Transcatheter Heart Valve Replacement With the Edwards SAPIEN 3 Transcatheter Heart Valve for Patients & Caregivers This patient booklet is for those who are suffering from a failing surgical bioprosthetic heart valve in the aortic or mitral position and are at high or greater risk for surgical valve replacement. This information will help you learn more about your heart and your treatment options, including a less invasive procedure called transcatheter valve replacement. Be sure to ask your specialized Heart Team to explain all of your treatment options and the possible risks and benefits of each. 2 Table of Contents This booklet is not intended Your Heart Valves ....................................................................................................................................................................................................................................... 3 to explain everything you need Why Could Your Surgical Bioprosthetic Heart Valve Be Failing? ................................................................ 4 to know about your treatment options or about the Understanding Your Treatment Options ............................................................................................................................................. 5-6 transcatheter procedure. Please discuss any questions Transcatheter Valve Replacement ................................................................................................................................................................. 5 you have with your doctor. Surgical Valve Replacement...................................................................................................................................................................................... 6 Only a specialized Heart Team Edwards SAPIEN 3 Transcatheter Heart Valve....................................................................................................................... 8-12 can decide which treatment option is right for you. What Do You Need to Do Before the Procedure? ........................................................................................................... 9 Delivery Approaches: Aortic ................................................................................................................................................................................ 11 Delivery Approaches: Mitral ................................................................................................................................................................................ 12 What Happens After the Procedure? .................................................................................................................................................. 13 What Are the Benefits? .................................................................................................................................................................................................. 14 How Long Will My Valve Last?............................................................................................................................................................................14 Transcatheter Valve Replacement Clinical Outcomes .....................................................................................16-17 Replacement of Failing Surgical Bioprosthetic Aortic Valve ................................................................... 16 Replacement of Failing Surgical Bioprosthetic Mitral Valve ......................................................................... 17 What Are the Risks? ........................................................................................................................................................................................................................ 20 Precautions ....................................................................................................................................................................................................................................................... 21 Warnings ................................................................................................................................................................................................................................................................. 21 Who Should Not Have the Procedure? ..................................................................................................................................................... 21 Contact Information ....................................................................................................................................................................................................................... 23 Your Heart Valves The heart is a muscular organ in your chest that is about the size of your fist. The heart’s main function is to pump blood to the rest of your body. Each valve usually has two or three leaflets (flaps of tissue) that open and close like gates to regulate the one-way flow of blood through the heart. It is important that your valves are always working properly: Left Atrium • Be properly formed and flexible Right • Open all the way so that the right amount Atrium of blood can pass through Mitral valve • Close tightly so that no blood leaks Pulmonary Aortic valve back into the chamber valve There are two problems that can Tricuspid valve occur in heart valves: Stenosis: when your valve narrows and does not open completely Right Left Ventricle Ventricle Regurgitation: when your valve does not close completely and blood leaks backwards 3 Why Could Your Surgical time, the leaflets become stiff, reducing Bioprosthetic Heart Valve their ability to fully open and close. be Failing? When the leaflets don’t fully open and close, your heart must work harder to Your original heart valve may have been push blood through the valve to your replaced with a surgical bioprosthetic body. heart valve. Over time, there are two Eventually, your heart gets weaker. This common problems that can develop increases the risk of heart failure (when with a surgical bioprosthetic heart valve: your heart cannot keep up with its • Stenosis: when your valve narrows workload). Stenosis or regurgitation of and does not open completely your surgical bioprosthetic heart valve • Regurgitation: when your valve does can be a very serious problem. not close completely and blood leaks backwards With either problem, your heart needs to work harder and may not pump enough blood to your body. In elderly patients, failing surgical bioprosthetic heart valves are sometimes caused by the build up of calcium (mineral deposits) on the valve’s leaflets. Over If you suspect any change in your ability to perform routine daily activities, consult your cardiologist right away. 3 4 Understanding Your Transcatheter Valve Treatment Options Replacement If you have a failing aortic or Transcatheter valve replacement is a mitral surgical bioprosthetic less invasive, catheter-based technique heart valve, and your doctor has for replacing the failing valve. An evaluated you to be at high or interventional cardiologist, along with greater risk for surgery, a cardiothoracic surgeon, will work transcatheter valve replacement together during the procedure. They may be an option for you. will guide a new valve into the heart while the heart is still beating, using However, only a specialized guidance from X-ray and Heart Team can determine echocardiography. which treatment option is best for you. They may use one of the following delivery approaches: transfemoral (through an incision in your leg), transapical (through an incision in the bottom of your heart), transaortic (through an incision in the top of your heart), or transseptal (through an incision in your leg). Your doctor will determine the best delivery approach for you. Transfemoral Approach 5 Surgical Valve Replacement Most open heart surgeries are performed For more information through an incision across the full on treatment options, length of the breast bone, or sternum. please visit This incision is called a median sternotomy. Occasionally, open heart surgeries can be performed through smaller incisions. Open heart surgeries, including those performed through smaller incisions, require the use of a heart-lung machine, which temporarily takes over the function of the heart. During the procedure, the surgeon will completely remove the diseased aortic or mitral valve and insert a new valve. There are two different types of surgical valves: • Mechanical (man-made material) • Biological (animal or human tissue) 6 7 Edwards SAPIEN 3 Transcatheter Heart Valve The Edwards SAPIEN 3 transcatheter heart valve is a biological tissue valve that will replace your failing valve. It is available in four sizes: 20, 23, 26, and 29 mm in diameter. Your specialized Heart Team will determine which size is right for you. Edwards Lifesciences’ first transcatheter heart valve was approved commercially in Europe in 2007 and in the United States in 2011. Metal frame An illustration of the SAPIEN 3 valve is pictured to the right. Image is larger than actual valve size. Three tissue leaflets (made from cow heart tissue) Fabric skirt 8 Transcatheter Procedure What Do You Need to Do Transcatheter valve replacement 4. The balloon of the delivery system Before the Procedure? allows a new valve to be inserted carrying the valve will be inflated, through
Load more

Recommended publications
  • Surgical Management of Transcatheter Heart Valves
    Corporate Medical Policy Surgical Management of Transcatheter Heart Valves File Name: surgica l_management_of_transcatheter_heart_valves Origination: 1/2011 Last CAP Review: 6/2021 Next CAP Review: 6/2022 Last Review: 6/2021 Description of Procedure or Service As the proportion of older adults increases in the U.S. population, the incidence of degenerative heart valve disease also increases. Aortic stenosis and mitra l regurgita tion are the most common valvular disorders in adults aged 70 years and older. For patients with severe valve disease, heart valve repair or replacement involving open heart surgery can improve functional status and qua lity of life. A variety of conventional mechanical and bioprosthetic heart valves are readily available. However, some individuals, due to advanced age or co-morbidities, are considered too high risk for open heart surgery. Alternatives to the open heart approach to heart valve replacement are currently being explored. Transcatheter heart valve replacement and repair are relatively new interventional procedures involving the insertion of an artificial heart valve or repair device using a catheter, rather than through open heart surgery, or surgical valve replacement (SAVR). The point of entry is typically either the femoral vein (antegrade) or femora l artery (retrograde), or directly through the myocardium via the apical region of the heart. For pulmonic and aortic valve replacement surgery, an expandable prosthetic heart valve is crimped onto a catheter and then delivered and deployed at the site of the diseased native valve. For valve repair, a small device is delivered by catheter to the mitral valve where the faulty leaflets are clipped together to reduce regurgitation.
    [Show full text]
  • Blood Flow DHO8 7.8, Pg
    Blood Flow DHO8 7.8, pg. 190 HS1/2017-2018 Circuits •Pulmonary circuit –The blood pathway between the right of the heart, to the lungs, and back to the left side of the heart. •Systemic circuit –The pathway between the left side of the heart, to the body, and back to the right side of the heart. The Pathway of Blood •Superior & Inferior Vena •Left Atrium Cava •Mitral Valve •Right Atrium •Left Ventricle •Tricuspid Valve •Aortic Semilunar Valve •Right Ventricle •Aorta •Pulmonary Semilunar -Arteries Valve -Arterioles •Pulmonary Artery -Capillaries •Lungs -Venules –Pulmonary Arterioles -Veins –Pulmonary Capillaries –Pulmonary Venules •Pulmonary Vein Blood Flow Through Heart Do You Know? • When blood leaves the left atrium, where does it go next? a) Aorta b) Left ventricle c) Right atrium d) Pulmonary artery And the answer is….A Do You Know? • After blood leaves the right atrium, what valve prevents the back flow? a) Pulmonary b) Mitral c) Tricuspid d) Aortic And the answer is…C Do You Know? • The right ventricle is the chamber of the heart that pumps blood for the pulmonary circulation. Based on this information, blood from the right ventricle is on its way to the _____. a) Liver b) Lungs c) Hands and feet And the answer is…B Do You Know? • Which of the following is correct order of blood flow for the right side of the heart? a) RA, Tricuspid valve, RV, PSLV, pulmonary artery b) RA, PSLV, RV, Tricuspid valve, pulmonary artery c) RA, Tricuspid valve, RV, pulmonary artery , PSLV And the answer is…A Do You Know? • Which of the following is correct order of blood flow for the left side of the heart? a) LA, Bicuspid valve, LV, ASLV, aorta b) LA, ASLV, LV, Bicuspid valve, aorta c) LA, Bicuspid valve, LV, ASLV, aorta And the answer is…C.
    [Show full text]
  • Severe Aortic Stenosis and the Valve Replacement Procedure
    Severe Aortic Stenosis and the Valve Replacement Procedure A Guide for Patients and their Families If you’ve been diagnosed with severe aortic stenosis, you probably have a lot of questions and concerns. The information in this booklet will help you learn more about your heart, severe aortic stenosis, and treatment options. Your heart team will recommend which treatment option is best for you. Please talk with them about any questions you have. Table of Contents 4 About Your Heart 5 What Is Severe Aortic Stenosis? 5 What Causes Severe Aortic Stenosis? 7 What Are the Symptoms of Severe Aortic Stenosis? 8 Treatment Options for Severe Aortic Stenosis 10 Before a TAVR Procedure 12 What Are the Risks of TAVR? 2 3 About Your Heart What Is Severe See the difference between healthy and The heart is a muscle about the size of your fist. It is a pump that works nonstop to Aortic Stenosis? diseased valves send oxygen-rich blood throughout your entire body. The heart is made up of four The aortic valve is made up of two or three chambers and four valves. The contractions (heartbeats) of the four chambers push Healthy Valve the blood through the valves and out to your body. tissue flaps, called leaflets. Healthy valves open at every heart contraction, allowing blood to flow forward to the next chamber, and then close tightly to prevent blood from backing Pulmonic controls the flow of Aortic controls the flow of blood up. Blood flows in one direction only. This is Valve blood to the lungs Valve out of your heart to the important for a healthy heart.
    [Show full text]
  • Mitral Valve Prolapse, Arrhythmias, and Sudden Cardiac Death: the Role of Multimodality Imaging to Detect High-Risk Features
    diagnostics Review Mitral Valve Prolapse, Arrhythmias, and Sudden Cardiac Death: The Role of Multimodality Imaging to Detect High-Risk Features Anna Giulia Pavon 1,2,*, Pierre Monney 1,2,3 and Juerg Schwitter 1,2,3 1 Cardiac MR Center (CRMC), Lausanne University Hospital (CHUV), 1100 Lausanne, Switzerland; [email protected] (P.M.); [email protected] (J.S.) 2 Cardiovascular Department, Division of Cardiology, Lausanne University Hospital (CHUV), 1100 Lausanne, Switzerland 3 Faculty of Biology and Medicine, University of Lausanne (UniL), 1100 Lausanne, Switzerland * Correspondence: [email protected]; Tel.: +41-775-566-983 Abstract: Mitral valve prolapse (MVP) was first described in the 1960s, and it is usually a benign condition. However, a subtype of patients are known to have a higher incidence of ventricular arrhythmias and sudden cardiac death, the so called “arrhythmic MVP.” In recent years, several studies have been published to identify the most important clinical features to distinguish the benign form from the potentially lethal one in order to personalize patient’s treatment and follow-up. In this review, we specifically focused on red flags for increased arrhythmic risk to whom the cardiologist must be aware of while performing a cardiovascular imaging evaluation in patients with MVP. Keywords: mitral valve prolapse; arrhythmias; cardiovascular magnetic resonance Citation: Pavon, A.G.; Monney, P.; Schwitter, J. Mitral Valve Prolapse, Arrhythmias, and Sudden Cardiac Death: The Role of Multimodality 1. Mitral Valve and Arrhythmias: A Long Story Short Imaging to Detect High-Risk Features. In the recent years, the scientific community has begun to pay increasing attention Diagnostics 2021, 11, 683.
    [Show full text]
  • Surgery for Acquired Heart Disease
    View metadata, citation and similar papers at core.ac.uk brought to you byCORE provided by Elsevier - Publisher Connector SURGERY FOR ACQUIRED HEART DISEASE EARLY RESULTS WITH PARTIAL LEFT VENTRICULECTOMY Patrick M. McCarthy, MD a Objective: We sought to determine the role of partial left ventriculectomy in Randall C. Starling, MD b patients with dilated cardiomyopathy. Methods: Since May 1996 we have James Wong, MBBS, PhD b performed partial left ventriculectomy in 53 patients, primarily (94%) in Gregory M. Scalia, MBBS b heart transplant candidates. The mean age of the patients was 53 years Tiffany Buda, RN a Rita L. Vargo, MSN, RN a (range 17 to 72 years); 60% were in class IV and 40% in class III. Marlene Goormastic, MPH c Preoperatively, 51 patients were thought to have idiopathic dilated cardio- James D. Thomas, MD b myopathy, one familial cardiomyopathy, and one valvular cardiomyopathy. Nicholas G. Smedira, MD a As our experience accrued we increased the extent of left ventriculectomy James B. Young, MD b and more complex mitral valve repairs. For two patients mitral valve replacement was performed. For 51 patients the anterior and posterior mitral valve leaflets were approximated (Alfieri repair); 47 patients also had ring posterior annuloplasty. In 27 patients (5!%) one or both papillary muscles were divided, additional left ventricular wall was resected, and the papillary muscle heads were reimplanted. Results: Echocardiography showed a significant decrease in left ventricular dimensions after resection (8.3 cm to 5.8 cm), reduction in mitral regurgitation (2.8+ to 0), and increase in forward ejection fraction (15.7% to 32.7%).
    [Show full text]
  • Arterial Switch Operation Surgery Surgical Solutions to Complex Problems
    Pediatric Cardiovascular Arterial Switch Operation Surgery Surgical Solutions to Complex Problems Tom R. Karl, MS, MD The arterial switch operation is appropriate treatment for most forms of transposition of Andrew Cochrane, FRACS the great arteries. In this review we analyze indications, techniques, and outcome for Christian P.R. Brizard, MD various subsets of patients with transposition of the great arteries, including those with an intact septum beyond 21 days of age, intramural coronary arteries, aortic arch ob- struction, the Taussig-Bing anomaly, discordant (corrected) transposition, transposition of the great arteries with left ventricular outflow tract obstruction, and univentricular hearts with transposition of the great arteries and subaortic stenosis. (Tex Heart Inst J 1997;24:322-33) T ransposition of the great arteries (TGA) is a prototypical lesion for pediat- ric cardiac surgeons, a lethal malformation that can often be converted (with a single operation) to a nearly normal heart. The arterial switch operation (ASO) has evolved to become the treatment of choice for most forms of TGA, and success with this operation has become a standard by which pediatric cardiac surgical units are judged. This is appropriate, because without expertise in neonatal anesthetic management, perfusion, intensive care, cardiology, and surgery, consistently good results are impossible to achieve. Surgical Anatomy of TGA In the broad sense, the term "TGA" describes any heart with a discordant ven- triculoatrial (VA) connection (aorta from right ventricle, pulmonary artery from left ventricle). The anatomic diagnosis is further defined by the intracardiac fea- tures. Most frequently, TGA is used to describe the solitus/concordant/discordant heart.
    [Show full text]
  • Long-Term Outcomes of the Neoaorta After Arterial Switch Operation for Transposition of the Great Arteries Jennifer G
    ORIGINAL ARTICLES: CONGENITAL HEART SURGERY CONGENITAL HEART SURGERY: The Annals of Thoracic Surgery CME Program is located online at http://cme.ctsnetjournals.org. To take the CME activity related to this article, you must have either an STS member or an individual non-member subscription to the journal. CONGENITAL HEART Long-Term Outcomes of the Neoaorta After Arterial Switch Operation for Transposition of the Great Arteries Jennifer G. Co-Vu, MD,* Salil Ginde, MD,* Peter J. Bartz, MD, Peter C. Frommelt, MD, James S. Tweddell, MD, and Michael G. Earing, MD Department of Pediatrics, Division of Pediatric Cardiology, and Department of Internal Medicine, Division of Cardiovascular Medicine, and Department of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin Background. After the arterial switch operation (ASO) score increased at an average rate of 0.08 per year over for transposition of the great arteries (TGA), the native time after ASO. Freedom from neoaortic root dilation at pulmonary root and valve function in the systemic posi- 1, 5, 10, and 15 years after ASO was 84%, 67%, 47%, and tion, and the long-term risk for neoaortic root dilation 32%, respectively. Risk factors for root dilation include -pre ,(0.003 ؍ and valve regurgitation is currently undefined. The aim history of double-outlet right ventricle (p and length of ,(0.01 ؍ of this study was to determine the prevalence and pro- vious pulmonary artery banding (p Neoaortic valve regurgitation of at .(0.04 ؍ gression of neoaortic root dilation and neoaortic valve follow-up (p regurgitation in patients with TGA repaired with the least moderate degree was present in 14%.
    [Show full text]
  • Leapfrog Hospital Survey Hard Copy
    Leapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS Table of Contents Welcome to the 2016 Leapfrog Hospital Survey........................................................................................... 6 Important Notes about the 2016 Survey ............................................................................................ 6 Overview of the 2016 Leapfrog Hospital Survey ................................................................................ 7 Pre-Submission Checklist .................................................................................................................. 9 Instructions for Submitting a Leapfrog Hospital Survey ................................................................... 10 Helpful Tips for Verifying Submission ......................................................................................... 11 Tips for updating or correcting a previously submitted Leapfrog Hospital Survey ...................... 11 Deadlines ......................................................................................................................................... 13 Deadlines for the 2016 Leapfrog Hospital Survey ...................................................................... 13 Deadlines Related to the Hospital Safety Score ......................................................................... 13 Technical Assistance.......................................................................................................................
    [Show full text]
  • Chapter 12 the Cardiovascular System: the Heart Pages
    CHAPTER 12 THE CARDIOVASCULAR SYSTEM: THE HEART PAGES 388 - 411 LOCATION & GENERAL FEATURES OF THE HEART TWO CIRCUIT CIRCULATORY SYSTEM DIVISIONS OF THE HEART FOUR CHAMBERS Right Atrium Left Atrium Receives blood from Receives blood from the systemic circuit the pulmonary circuit FOUR CHAMBERS Right Ventricle Left Ventricle Ejects blood into the Ejects blood into the pulmonary circuit systemic circuit FOUR VALVES –ATRIOVENTRICULAR VALVES Right Atrioventricular Left Atrioventricular Valve (AV) Valve (AV) Tricuspid Valve Bicuspid Valve and Mitral Valve FOUR VALVES –SEMILUNAR VALVES Pulmonary valve Aortic Valve Guards entrance to Guards entrance to the pulmonary trunk the aorta FLOW OF BLOOD MAJOR VEINS AND ARTERIES AROUND THE HEART • Arteries carry blood AWAY from the heart • Veins allow blood to VISIT the heart MAJOR VEINS AND ARTERIES ON THE HEART Coronary Circulation – Supplies blood to the muscle tissue of the heart ARTERIES Elastic artery: Large, resilient vessels. pulmonary trunk and aorta Muscular artery: Medium-sized arteries. They distribute blood to skeletal muscles and internal organs. external carotid artery of the neck Arteriole: Smallest of arteries. Lead into capillaries VEINS Large veins: Largest of the veins. Superior and Inferior Vena Cava Medium-sized veins: Medium sized veins. Pulmonary veins Venules: the smallest type of vein. Lead into capillaries CAPILLARIES Exchange of molecules between blood and interstitial fluid. FLOW OF BLOOD THROUGH HEART TISSUES OF THE HEART THE HEART WALL Pericardium Outermost layer Serous membrane Myocardium Middle layer Thick muscle layer Endocardium Inner lining of pumping chambers Continuous with endothelium CARDIAC MUSCLE Depend on oxygen to obtain energy Abundant in mitochondria In contact with several other cardiac muscles Intercalated disks – interlocking membranes of adjacent cells Desmosomes Gap junctions CONNECTIVE TISSUE Wrap around each cardiac muscle cell and tie together adjacent cells.
    [Show full text]
  • Positive Maternal and Foetal Outcomes After Cardiopulmonary Bypass Surgery
    Case Study: Positive maternal and foetal outcomes after cardiopulmonary bypass surgery Positive maternal and foetal outcomes after cardiopulmonary bypass surgery in a parturient with severe mitral valve disease aMokgwathi GT, MBChB aLebakeng EM, MBChB, DA(SA), MMed(Anaes) bOgunbanjo GA, MBBS, FCFP(SA), MFamMed, FACRRM, FACTM, FAFP(SA), FWACP(Fam Med) aDepartment of Anaesthesiology, University of Limpopo (Medunsa Campus) bDepartment of Family Medicine and Primary Health Care, University of Limpopo (Medunsa Campus) Correspondence to: Dr GT Mokgwathi, e-mail: [email protected] Keywords: anaesthesia, cardiac surgery, parturient, cardiopulmonary bypass surgery, mitral valve replacement Abstract This case study describes the successful management of a parturient with severe mitral stenosis and moderate mitral regurgitation who underwent cardiopulmonary bypass (CPB) surgery. A healthy baby was delivered by Caesarean section 11 days later. The effects of CPB surgery and mitral valve replacement on parturient and foetus are discussed. Peer reviewed. (Submitted: 2011-01-04, Accepted: 2011-06-16) © SASA South Afr J Anaesth Analg 2011;17(4):299-302 Introduction she was classified as New York Heart Association (NYHA) class III and World Health Organization (WHO) heart Heart disease is the primary cause of nonobstetric mortality failure stage C. Her blood pressure was 90/60 mmHg in pregnancy, occurring in 1-4 % of pregnancies1-3 and and her heart rate was 82 beats per minute and regular. accounting for 10–15 % of maternal mortality in developed She had a tapping apex beat, loud first heart sound, loud countries.1,2 Cardiac disease contributes to 40.2% of pulmonary component of the second heart sound and a maternal deaths in South Africa.4 Soma-Pillay et al noted grade 3/4 diastolic murmur heard loudest at the apex.
    [Show full text]
  • Heart Valve Disease: Mitral and Tricuspid Valves
    Heart Valve Disease: Mitral and Tricuspid Valves Heart anatomy The heart has two sides, separated by an inner wall called the septum. The right side of the heart pumps blood to the lungs to pick up oxygen. The left side of the heart receives the oxygen- rich blood from the lungs and pumps it to the body. The heart has four chambers and four valves that regulate blood flow. The upper chambers are called the left and right atria, and the lower chambers are called the left and right ventricles. The mitral valve is located on the left side of the heart, between the left atrium and the left ventricle. This valve has two leaflets that allow blood to flow from the lungs to the heart. The tricuspid valve is located on the right side of the heart, between the right atrium and the right ventricle. This valve has three leaflets and its function is to Cardiac Surgery-MATRIx Program -1- prevent blood from leaking back into the right atrium. What is heart valve disease? In heart valve disease, one or more of the valves in your heart does not open or close properly. Heart valve problems may include: • Regurgitation (also called insufficiency)- In this condition, the valve leaflets don't close properly, causing blood to leak backward in your heart. • Stenosis- In valve stenosis, your valve leaflets become thick or stiff, and do not open wide enough. This reduces blood flow through the valve. Blausen.com staff-Own work, CC BY 3.0 Mitral valve disease The most common problems affecting the mitral valve are the inability for the valve to completely open (stenosis) or close (regurgitation).
    [Show full text]
  • A Study on Pattern of Heart Disease and Maternal and Fetal Outcome Of
    University Heart Journal Vol. 11, No. 1, January 2015 A Study on Pattern of Heart Disease and Maternal and Fetal Outcome of Pregnancy in a Tertiary Level Hospital NAHREEN AKHTAR1 , TAJMIRA SULTANA1, SYEDA SAYEEDA2, TABASSUM PARVEEN1,FIROZA BEGUM1 1Fetomaternal Medicine Wing, Dept of Obs & Gynae, Bangabandhu Sheikh Mujib Medical University, Dhaka, 2Dept of Obs & Gynae, Bangabandhu Sheikh Mujib Medical University, Dhaka. Address for Correspondence: Dr Nahreen Akhtar Professor, Fetomaternal Medicine wing, Department of Obstetric & Gynaecology. Bangabandhu Sheikh Mujib Medical University, Dhaka. E-mail – nahreenakhtar10@g mail.com Abstract: Background: Cardiac disease is the most common cause of indirect maternal deaths and the most common cause of death overall. It complicates 1% of maternal death. Objective: Management of pregnancy in patients with valvular heart disease continues to pose a challenge to the clinician.the present study was therefore design to find the pattern of Heart Disease and to evaluate the maternal and fetal outcome of pregnancy. Method: This is a cross sectional study done during the period Jan to Dec, 2011in fetomaternal medicine wing of department of Obs & Gynae, BSMMU. All the patients admitted with heart disease in pregnancy during this study period were included in this study. This study prospectively enrolled 54 pregnant women with heart disease.All cases were followed during pregnancy , labour, delivery and in early puerperium. Results: The mean (SD±) age of the patients was 26.08 ± 3.96 ranging from 20 to 35yrs, most ( 26% ) belonged to age group 26 - 30yrs and five (9.26% ) belonged to >30years of age group. Most of the patients 21 (38.89%) were primigravid and 16(29.63%) patients were of second gravida.
    [Show full text]