Melinda Gets Pregnant With A Bicuspid Valve & Aneurysm
By Adam Pick on July 31, 2009
Over the past few months, several patients have written-in about pregnancy, child birth, heart valve disease and the complex issue of… surgery timing.
In fact, this morning I received an exciting email about Melinda, her new husband, her bicuspid aortic valve and her pregnancy. I thought you might enjoy reading about Melinda’s approach to having a baby before before heart valve replacement surgery. Here is what she writes:
Adam,
I was diagnosed with a bicuspid aortic valve about 21 years ago. I’m now 39 years old and I’m 6 weeks pregnant!!!
I have been having semi-annual check ups with my cardiologist for about 4 or 5 years now. The cardiologist has been monitoring me closely so that the timing of my replacement surgery is as best as it can be.
After the cardiologist read my most recent echocardiogram he was concerned so he sent me for a TEE. The results of both tests concluded that my time was coming near (as in the next 18 to 24 months). During our conversation, the possibility of having a baby came up. I just got married in May and my husband and I wanted to get started on a family, given that we are both 39.
Fortunately, my cardiologist was agreeable to me getting pregnant. He said that if we’re going to try to get pregnant then it should be soon. So, fortunately on the first try, we got lucky!
My doctor says that I should do fine throughout the pregnancy, but soon after the baby is born, I have to have my aortic valve replaced along with a portion of my aorta, as it is slightly enlarged (4.2 cm). I recently visited with a cardiothoracic surgeon who will most likely perform my surgery.
Melinda’s Baby: 6-Week Ultrasound
The surgeon agreed that at my current state, I should do fine through my pregnancy. Today, my husband and I went for our first prenatal appointment. The OBGYN was more concerned about my high-risk pregnancy than either of the two cardiac specialists.
I’m already a high risk case because of my age. The bicuspid valve just escalates my risk. I’m a trooper though. I’m confident I’ll do just fine with the team of doctors I have working with me. Other than my defective heart valve, I am a picture of good health. I don’t smoke, I’m not overweight, I’m very active (I was running 4 miles about 4 times a week, but the doctor said no more to that… only walking from here on out).
I tell you all of this because I thought you might find my story rather interesting. I’ve been following your blog for over a year now. I’ve never posted anything… I just really enjoy reading what is going on with everyone else in the world of heart valve surgery.
I really appreciate the work you do and I hope that you will continue. Your site has really helped me sort out some of the decisions that I have to make about my surgery. It has also made me feel at ease knowing that there are so many success stories out there.
I’ll be happy to share my experience with you throughout my pregnancy and surgery. I don’t think there are too many of us heart valve patients getting pregnant with heart valve replacement surgery in the near future. Let’s assume that my story will have a happy ending and this might help others.
Your friend,
Melinda
Tampa, Florida
Sean R. says on July 31st, 2009 at 1:28 pm |
Melinda, |
keesha l. williams says on July 31st, 2009 at 1:29 pm |
Hi I have mitral valve prolapse and I was supposed to get married in the fall 09. I had an echocardigram done and my mvp has gotten worse. The md stated that I need to have my valve repaired and I am in my 30’s and I want to have more children this news was unexpected and a little scarey. kw |
Leticia Creasey says on July 31st, 2009 at 1:47 pm |
Melinda, I too have a bi-cuspid aortic heart valve. I see my cardiologist every year. My murmur gets louder each year. I am due to see him next month. I just want to give you some words of encouragement by telling you that I have 3 children and had my last one at age 40, three years ago. I’m glad you are sharing your story. You are not alone. Best wishes. Leticia |
Sara says on July 31st, 2009 at 1:53 pm |
Melinda – thanks so much for your posting! I too am just following this blog, however I’m in a similar situation to you and will be needing a portion of my aorta replaced (it’s also enlarged) and my valve repaired – however this is prior to surgery. I definitely want to follow your experience and get any thoughts/advice that you may have. Thanks for sharing your story and congrats on the baby! I will keep you in my thoughts! |
Denise C says on July 31st, 2009 at 5:24 pm |
Melinda: |
Fran says on July 31st, 2009 at 9:18 pm |
Melinda, best of luck to you. Where do you plan to have your valve surgery done? I live in SW Florida and am not sure yet where I’ll go. Thanks |
Adam Pick says on July 31st, 2009 at 9:27 pm |
Fran, Not sure if you have checked our Heart Valve Surgeon Database yet. But it might help you locate a surgeon in Florida. Here is the link: http://www.heart-valve-surgery.com/surgeon-database/home.php Keep on tickin! Adam |
Elaine says on July 31st, 2009 at 10:51 pm |
Hi Melinda, |
Cheri Blanchard says on August 1st, 2009 at 12:07 am |
Melinda, |
jeff stoveken says on August 2nd, 2009 at 7:26 am |
when i first joined this blog i was surprised to hear how many people like myself needed this surgery and all the similar anuerysms and valve problems,im 46 years old. now i cant believe all these women in their 30s needing it too !until youve researched it, you feel like how did this happen to me? then you realize its common and easily(so to speak) repaired! good luck to all! this is my one year anniv. of them finding my aneurysm.im happy to be alive today!!!!!!!! thanks jeff jeffstoveken@yahoo.com |
Kimberly says on August 13th, 2009 at 11:31 pm |
Melinda, I just wanted to let you know that your story touched me. I’m 28 yrs old, and just got married this last April, 2009. My husband Mike and I are starting to think about having a baby soon, and it’s been a big decision as I have had 3 open heart surgeries due to congential coarctation of the aorta, and anticipate having my AV replaced at some point in my life. Hope all is well and the pregnancy went (or is going well), your story was inspiring~ |
jeff stoveken says on August 16th, 2009 at 4:24 pm |
my wife’s cousin had open heart surgeries too and her doctors advised her not to get pregnant. im not sure if maybe her being on coumadin played a role in that? by the way, kimberly,why so many surgeries? jeff jeffstoveken@yahoo.com |
Jennifer says on September 8th, 2009 at 1:23 pm |
i have sub-aortic stenosis in 22 years old and im scared me and my fiance’ are now going to start trying to have a baby , but to my disadvantage i have no insurance , there for i cannot get check by a cardiologist , how did your pregnancy turn out? did you have to have surgery right after? hows the baby? oh and congrats on marriage! i would greatly appreciate a responce, i thought i was alone with this |
Sarah says on October 3rd, 2009 at 10:54 am |
Hey Melinda |
Rose M. says on October 4th, 2009 at 6:31 pm |
Hi Melinda, |
Rebecca says on October 4th, 2009 at 7:39 pm |
Sarah, I too have two small children ages 4 and 9 weeks – I am having my aortic valve replaced on Oct 14. I am glad that there is another young mother out there like me dealing with this. I am concerned about lifting my baby afterwards and how long it might take before I am comfortable bathing him etc. Dr. says I will have no restrictions after 6 weeks, but that is an awfully long time in my book. Praying that your sugery goes well! |
Sarah says on October 14th, 2009 at 3:35 pm |
Rebecca- My surgery went ok….although ten days later I am still in the hospital due to some post surg complications. The worst part of it all is that I am not able to see/hold my children. My md told me that I too will have lifting restrictions but she said I could feed my baby if someone puts them in my arms and I have plenty of arm support with pillows. Praying your surgery goes well too!!!! |
lisa says on December 3rd, 2009 at 12:08 pm |
I am a 26 years old and I have had 5 heart surgeries a balloon catheterization a steins, 2 mitral valve repairs and then in 2003 they ended up replacing my mitral valve with the st. Jude valve my husband and I have been together for seven years and would love nothing more than to start a family of our own. Is there hope for us to have a normal healthy baby? my cardiologist said it would be OK to have kids. He was a pediatric cardiologist I have seen for the last 22 years until this year when he said he can’t see me anymore because I am to old. LOL! so now I am stuck with all these questions and looking for a new doctor Its all kinda scary. does anyone have a success story that might give me some hope |
Gina says on January 2nd, 2010 at 10:44 pm |
I am 32 years-old and was born with bicuspid aortic valve stenosis. I had a balloon valvotomoy when I was just five years-old. As a teenager I was told by doctors that I would probably need valve replacement sometime in my forties. I had my first baby three years ago I tolerated my first pregnancy very well with a planned c-section, however I developed a heart arythmia during the pregnancy. I am still taking a beta-blocker to control it today. I just found out that I’m pregnancy again. I am excited, but very, very nervous. I am happy to hear that there are other women out there experiencing similar issues because I usually feel like I’m the only one. |
Linda says on February 25th, 2010 at 6:50 am |
Hi Melinda, Hope things are going well for you. I also live in Tampa, Fl. and I was looking for a good cardiologist who works with patients that have congenital biscuspid valve stenosis. Who is your cardiologist and I think you mentioned you had a surgeon in mind and where is he located? It is important to have a doctor you can talk to. Linda |
Mandy says on May 17th, 2010 at 6:07 pm |
Hi Melinda, RE: Female with Moderate Aortic Stenosis who wishes to get pregnant! I am a 34 year old (4”10” in height and 85 pounds in weight) female who has been diagnosed with a congenital unicuspid valve. I have been seen by cardialogists at Cornell Weill, Mayo Clinic and Johns Hopkins who agree that I am not eligible for surgery because I currently have a moderate aortic stenosis with the following measurements: Aortic Valve Area: 1.4 mm squared Since unicuspid valve occurs only in .02% of the population and is predominant in males (3 males to 1 female), my cardiologists have been able to make their assessments based on bicuspid valve cases. With respect to pregnancy, I have been told by one of my cardiologists that there is 1% chance that my dilated/enlarged aorta may rupture due to the increase in blood volume and pressure during pregnancy. To make a sound decision, I was hoping that you could please share your pregnancy experience, especially if you are similar in body size, diagnosis, and aortic measurements. With much appreciation, Mandy |
Natalie Nixon says on May 27th, 2010 at 10:22 am |
Hi Melinda, Your story is truly inspiring and I wonder how you and your family are today. I am 20 years old and as a young child I was diagnosed with a coarctation of the aorta which had to be repaired immediately. I also have a small VSD and a Bicuspid valve and contemplate the possibility of surgery at some point in the future, although it is not needed at the moment. I have just completed my degree and gotten a job, also I have just found out that I am 7 weeks pregnant. My main concern is that my heart problems will be passed onto our child and how my conditions may affect me and my health during my pregnancy. I also wonder if this was the case what could be done to help me. I am so surprised to find that there are so many similar stories. Many Thanks |
Ryan says on July 20th, 2010 at 5:58 pm |
Hi Melinda, |
Gina says on January 3rd, 2012 at 5:05 am |
Reading what everyone is writing is giving me a lot of hope, thank you. I turned 24 in July of 2011 and that same month found out I was pregnant. My fiancé and I were both extremely happy, but at the same time worried about my heart mur mur (bicuspid aortic valve). After running a series of tests I was told that the narrowing of my heart valve was so severe that going through with the pregnancy was impossible. I was left with two choices, neither was good. One was to terminate the pregnancy asap to have surgery done and the other was to continue with pregnancy, but I would still be at high risk of myself or the baby dying, or both. I prayed about, cried about it, and thought about it…I only had a small amount of time to think about it. Although it was not what I wanted I ended up terminating my pregnancy, I was devastated. Protestors outside the clinic made me feel like a monster…I had the Ross Procedure done on November 2nd. I know the sternum takes about 6 months to properly heal, but I deeply and whole heartedly hope and pray that afer that time I am given the okay to conceive. Before I became pregnant I always said I wasn’t ready to be a mother, but after feeling something growing inside of you, well it changes your perspective and it made me feel so alive, an unexplainable feeling. After going through all of this I can honestly say I have been keeping a positive outlook, but every now and then I think about my baby that would have been born on March of 2012 and I shed a tear or more…and definitely can be heart breaking seeing family members who also had their babies recently. It’s definitely not easy, but I hope I may be as fortunate as some of you. God bless. 🙂 |
My Shadow Has Tourettes says on July 19th, 2017 at 2:42 am |
What’s the percentage of chance that my child will get BAV? |