Aortic valve replacement due to infective endocarditis in a 24-week pregnant patient

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Akdoğan A., Özdemir A. C., Ertürk E.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, vol.14, no.2, pp.207-209, 2023 (ESCI) identifier

  • Publication Type: Article / Case Report
  • Volume: 14 Issue: 2
  • Publication Date: 2023
  • Doi Number: 10.4328/acam.21696
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.207-209
  • Karadeniz Technical University Affiliated: Yes


Infective endocarditis in pregnant women is mostly associated with a history of rheumatic or congenital heart disease and is very rare. Surgical mortality is high both for the mother and the fetus. In most cases, infective endocarditis in pregnancy has a subacute course and includes the mitral valve, but it may also rarely involve the aortic valve, as in our case. Hypothermia and rewarming during the cardiopulmonary bypass period may trigger fetal hypoxia and uterine contraction in these patients, which may adversely affect both the mother and the fetus. We present a 28-year-old female patient with extensive vegetations on the aortic valve due to infective endocarditis, who applied to the emergency department with complaints of dyspnea and consciousness at the 22nd week of her pregnancy.