CONGENITAL AORTIC-STENOSIS AND PREGNANCY - A REAPPRAISAL

OBJECTIVE: This study was performed to determine the maternal and feta l outcome in pregnant patients with congenital aortic stenosis without previous valvular replacement. STUDY DESIGN: A retrospective review o f 25 pregnancies in 13 patients delivered at our centers from Septembe r 1976 to September 1992 was undertaken. RESULTS: Five (38%) patients had associated congenital heart lesions, three (23%) had severe stenos is (echocardiographically estimated valve area less-than-or-equal-to 0 .7 cm2), two had prior open aortic valve commissurotomy, and one had b alloon valvuloplasty during pregnancy. There were no maternal deaths. Of the 25 pregnancies, five (20%) resulted in therapeutic abortions. T here was no perinatal mortality, preterm labor, or increased incidence of pregnancy complications or fetal growth retardation in the remaini ng 20 pregnancies. One infant (5%) had congenital heart disease. CONCL USION: Pregnancy outcome is generally satisfactory in patients with co ngenital aortic stenosis.