Rare presentation of bicuspid aortic valve with severe stenosis complicated by mitral valve chordal rupture in peripartum period

Abstract

Objective: Cardiac lesions in pregnancy has low incidence but when present can cause severe hemodynamic deterioration and major adverse cardiovascular events. Valvular lesions are relatively common in developing countries and these can mount to significant risk during pregnancy if not investigated and managed with a multi-disciplinary approach Case presentation: We report case of a pregnant patient who was diagnosed to have a cardiac lesion intra-operatively during cesarean section when the patient’s condition deteriorated on table. Patient was diagnosed to have bicuspid aortic valve with severe aortic stenosis and severe mitral regurgitation. Patient was taken for emergency surgery and operated for double valve replacement (DVR). Conclusion: Early diagnosis of the condition during pregnancy and planned delivery can prevent such complications and ensure smooth course during the peripartum period to save life of the mother as well as the baby.