A challenging case of trans catheter mitral valve in valve replacement in a pregnant patient

Dr Roly Mishra*, Dr Rashmi D Gujaran, Dr Harvesp Panthakey, Dr Tapas Mandal, Dr Hemant Mehta

TMVR, also known as trans catheter mitral valve replacement is a relatively recent technique of replacing the mitral valve in the heart without the need for conventional open-heart surgery. TMVR is a treatment for mitral valve stenosis or mitral valve regurgitation or a mix of the two. Being a lesser invasive technique, it was developed initially as a method of replacing the mitral valve in patients considered too high risk for surgery. There are very few reports of TMVR procedure in pregnant patients. The advantage of TMVR in these patients is better maternal and fetal outcome. We would like to discuss about a patient in her second trimester of pregnancy posted for TMVR and the multiple challenges faced during and after this procedure.