An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis Mismatch
As the rate of obesity increases in childbearing-aged women, so too will the complications of obesity in pregnancy. An uncommon and likely underreported complication occurs in obese women who have received prepregnancy cardiac valve replacement with a prosthesis that is inadequately sized for body h...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2012/918352 |
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| author | William R. Hartman Katherine W. Arendt Kent H. Rehfeldt |
| author_facet | William R. Hartman Katherine W. Arendt Kent H. Rehfeldt |
| author_sort | William R. Hartman |
| collection | DOAJ |
| description | As the rate of obesity increases in childbearing-aged women, so too will the complications of obesity in pregnancy. An uncommon and likely underreported complication occurs in obese women who have received prepregnancy cardiac valve replacement with a prosthesis that is inadequately sized for body habitus, a condition referred to as patient-prosthesis mismatch (PPM). The physiologic changes of pregnancy as well as the increased weight gain combine to exacerbate PPM. We report a case of PPM that necessitated prosthesis replacement at 16-week gestation. As the incidence of this clinical scenario increases, it is important to understand the implications of prosthesis sizing, as well as the repercussions of having cardiopulmonary surgery to correct the undersized valve prosthesis while pregnant. |
| format | Article |
| id | doaj-art-865c862627474da78b2a7ba08183ffdd |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-865c862627474da78b2a7ba08183ffdd2025-02-03T07:24:30ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922012-01-01201210.1155/2012/918352918352An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis MismatchWilliam R. Hartman0Katherine W. Arendt1Kent H. Rehfeldt2Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USADepartment of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USADepartment of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USAAs the rate of obesity increases in childbearing-aged women, so too will the complications of obesity in pregnancy. An uncommon and likely underreported complication occurs in obese women who have received prepregnancy cardiac valve replacement with a prosthesis that is inadequately sized for body habitus, a condition referred to as patient-prosthesis mismatch (PPM). The physiologic changes of pregnancy as well as the increased weight gain combine to exacerbate PPM. We report a case of PPM that necessitated prosthesis replacement at 16-week gestation. As the incidence of this clinical scenario increases, it is important to understand the implications of prosthesis sizing, as well as the repercussions of having cardiopulmonary surgery to correct the undersized valve prosthesis while pregnant.http://dx.doi.org/10.1155/2012/918352 |
| spellingShingle | William R. Hartman Katherine W. Arendt Kent H. Rehfeldt An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis Mismatch Case Reports in Obstetrics and Gynecology |
| title | An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis Mismatch |
| title_full | An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis Mismatch |
| title_fullStr | An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis Mismatch |
| title_full_unstemmed | An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis Mismatch |
| title_short | An Underreported Consequence of Obesity in Pregnancy: Patient-Prosthesis Mismatch |
| title_sort | underreported consequence of obesity in pregnancy patient prosthesis mismatch |
| url | http://dx.doi.org/10.1155/2012/918352 |
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