Maternal Mortality In Aortic Stenosis: Case Report With Review Of Literature

Aortic stenosis is uncommon during pregnancy as most patients with bicuspid valves who develop stenosis do so after the age of 50-60 yrs. Contrary to this majority of pregnant women who develop aortic stenosis have congenital stenotic valves as rheumatic disease most often affects mitral valve first and later aortic and other valves. The maternal as well as perinatal mortality are reported to be high,17.4% and 31.6% respectively. The management policies vary as the condition is uncommon and there is some evidence that aortic valve replacement during pregnancy results in good maternal and perinatal outcome. Here we report a case severe aortic stenosis which resulted in maternal death due to lack of consensus regarding management.