Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous woman
Abstract Background Sub-valvular aortic stenosis is a rare disorder that has a prevalence of 6.5% of all adult congenital heart diseases. The hemodynamic changes that occur in pregnancy with the resultant increase in cardiac output may not well be tolerated by a pregnant woman with sub-valvular aort...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03242-7 |
| _version_ | 1797841229311901696 |
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| author | Lambert Tetteh Appiah Solomon Gyabaah Yaw Adu-Boakye Bernard C. Nkum |
| author_facet | Lambert Tetteh Appiah Solomon Gyabaah Yaw Adu-Boakye Bernard C. Nkum |
| author_sort | Lambert Tetteh Appiah |
| collection | DOAJ |
| description | Abstract Background Sub-valvular aortic stenosis is a rare disorder that has a prevalence of 6.5% of all adult congenital heart diseases. The hemodynamic changes that occur in pregnancy with the resultant increase in cardiac output may not well be tolerated by a pregnant woman with sub-valvular aortic stenosis. Case presentation We report the case of a 34-year-old para 7 (6 alive + 1 dead) who has been experiencing intermittent episodes of easy fatigability on moderate exertion since childhood and had survived 6 prior pregnancies. During her last pregnancy, she started experiencing chest pain, palpitations, dyspnea, orthopnea, and pre-syncope at 36 weeks and had a caesarean section at 37 weeks on account of fetal distress. The post-delivery cardiac evaluation showed severe sub-valvular Aortic stenosis and a ventricular septal defect. Conclusion Sub-valvular Aortic stenosis may progress slowly in adults and may be tolerated during pregnancy. Despite the rare presentation and contraindication of pregnancy in such a patient, she extraordinarily survived the pregnancy with a healthy baby. Routine cardiovascular assessment during prenatal, ante-natal and post-natal care is highly advocated particularly so in resource-poor settings. |
| first_indexed | 2024-04-09T16:27:38Z |
| format | Article |
| id | doaj.art-92c7588a29a043df9188e7899f86bef5 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T16:27:38Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-92c7588a29a043df9188e7899f86bef52023-04-23T11:08:51ZengBMCBMC Cardiovascular Disorders1471-22612023-04-012311510.1186/s12872-023-03242-7Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous womanLambert Tetteh Appiah0Solomon Gyabaah1Yaw Adu-Boakye2Bernard C. Nkum3Kwame Nkrumah University of Science and Technology, School of Medicine and Dentistry (KNUST-SMD)Komfo Anokye Teaching Hospital (KATH)Kwame Nkrumah University of Science and Technology, School of Medicine and Dentistry (KNUST-SMD)Kwame Nkrumah University of Science and Technology, School of Medicine and Dentistry (KNUST-SMD)Abstract Background Sub-valvular aortic stenosis is a rare disorder that has a prevalence of 6.5% of all adult congenital heart diseases. The hemodynamic changes that occur in pregnancy with the resultant increase in cardiac output may not well be tolerated by a pregnant woman with sub-valvular aortic stenosis. Case presentation We report the case of a 34-year-old para 7 (6 alive + 1 dead) who has been experiencing intermittent episodes of easy fatigability on moderate exertion since childhood and had survived 6 prior pregnancies. During her last pregnancy, she started experiencing chest pain, palpitations, dyspnea, orthopnea, and pre-syncope at 36 weeks and had a caesarean section at 37 weeks on account of fetal distress. The post-delivery cardiac evaluation showed severe sub-valvular Aortic stenosis and a ventricular septal defect. Conclusion Sub-valvular Aortic stenosis may progress slowly in adults and may be tolerated during pregnancy. Despite the rare presentation and contraindication of pregnancy in such a patient, she extraordinarily survived the pregnancy with a healthy baby. Routine cardiovascular assessment during prenatal, ante-natal and post-natal care is highly advocated particularly so in resource-poor settings.https://doi.org/10.1186/s12872-023-03242-7Sub-valvularAortic stenosisMultiparous womanCase report |
| spellingShingle | Lambert Tetteh Appiah Solomon Gyabaah Yaw Adu-Boakye Bernard C. Nkum Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous woman BMC Cardiovascular Disorders Sub-valvular Aortic stenosis Multiparous woman Case report |
| title | Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous woman |
| title_full | Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous woman |
| title_fullStr | Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous woman |
| title_full_unstemmed | Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous woman |
| title_short | Undiagnosed sub-valvular aortic stenosis with an associated Ventricular Septal Defect (VSD) presenting late in a multi-parous woman |
| title_sort | undiagnosed sub valvular aortic stenosis with an associated ventricular septal defect vsd presenting late in a multi parous woman |
| topic | Sub-valvular Aortic stenosis Multiparous woman Case report |
| url | https://doi.org/10.1186/s12872-023-03242-7 |
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