title: Congenital discrete subaortic stenosis in pregnancy: case report and literature review.
abstract: Today's growing numbers of pregnant patients with congenital heart defects presents challenges for cardiologists treating adult patients. The case is presented of a 19-year-old woman who was admitted with a threatened miscarriage in the third trimester and was diagnosed with an incomplete atrioventricular canal, cleft mitral valve with severe regurgitation, and severe congenital subaortic stenosis caused by a subaortic membrane. She was managed conservatively, delivered via cesarean section, and then underwent surgical repair of all defects with good outcome. Here, a review is provided of the literature on the natural course, complications, and treatment strategies of subaortic stenosis, together with a summary of recommendations for the management of the condition.
authors.affiliation: Department of Cardiology, University of South Florida, Tampa, FL, USA. mguglin@gmail.com
authors.forename: Maya
authors.initials: M
authors.lastname: Guglin
authors.forename: Olga
authors.initials: O
authors.lastname: Kristof-Kuteyeva
mesh_terms: D000022:Abortion, Spontaneous / Q000209:etiology / Q000517:prevention & control*; D000328:Adult; D001020:Aortic Stenosis, Subvalvular / Q000150:complications / Q000151:congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002585:Cesarean Section / Q000379:methods; D019468:Disease Management; D004452:Echocardiography / Q000379:methods; D054089:Endocardial Cushions / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D011263:Pregnancy Trimester, Third; D012720:Severity of Illness Index; D016896:Treatment Outcome