New, pregnant mom with BAVD and aneurysm--Questions

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D

deogloria

Hi,

I'm new. I've known about my aortic valve with stenosis and reguritation for four years (was told then that I'd need a replacement in five years). Found out that the valve was a bicuspid last year. Went to ER with radiating left arm pain last year, was given EKG and blood tests and blown off (sound familiar?). :rolleyes:

After having mild chest pain several times over the last year, I saw a doctor at a same-day clinic two weeks ago. The old jerk condescendingly told me that, in spite of my symptoms, my bad heart valve, and a family history of aortic aneurysm, I was "too young for anything like that" and that "it's just stress, my dear". :mad: Of course, I never told him anything about my life that would make it sound stressful...he didn't even know I had five kids.

After some recent research into dissections, I knew enough to ignore him. That night I went to a larger hospital and was taken somewhat seriously, until they saw me joking around. (I TOLD them that I'm the type of person who can be in a LOT of pain, crying, and still joke around...although this pain was mild.) Suddenly they just wanted to get the last blood test in and dismiss me. The nurse (I never saw a doctor) told me it was probably stress, and I needed to stop scaring myself by doing internet research. (Yes, go home you silly housewife, and pop a Xanax like everyone else. You'll be fine.) I insisted on a CT scan with contrast.

Guess what they found folks? :rolleyes: Yep, a big old aneurysm, right on the ascending aorta where I told them it would be. 4.5 cm. Must have been a lucky guess, huh? And the stupid nurse STILL thought the chest pain was stress. I guess the giant aneurysm and bad heart valve were just a coincidence. The next person to tell me my chest pain is "just stress" is going to get smacked!

The ER nurse referred me to a cardiologist and sent me home. I had an appointment for two weeks later, but was called (on a Sunday) and asked if I could come in the next day. Saw the cardiologist and had another echo done, and was referred to the specialist for valve and aortic disease. I get an MRA and see him in two weeks. I haven't heard any results from the echo, and no one has explained the chest pain. After researching, I think it is my stenosis, that it has gotten worse. I have bad shortness of breath, and the chest pain happens mostly with activity. I'm worried I'm going into heart failure, based on my symptoms.

To complicate matters, I just found out I'm pregnant. :eek: The worst part is that I had the CT scan, two chest x-rays, and two wrist x-rays the same weekend, while I was pregnant (unknowingly....and the wrist x-ray was from an earlier unrelated injury). So now I'm worried about the baby, and about myself. I know the dangers of being pregnant with my condition. :(

I don't know if the cardiologist is going to want to do surgery anyway, or wait. I'm afraid to wait, I've heard the stories of people who dissected at less than 5 cm, and who knows how much it could grow while I'm pregnant? But I'm also afraid to get surgery, because I'd hate for anything to happen to the baby. If I have to get surgery, I will, as long as the baby still has a chance to survive.

Has anyone else become pregnant with severe stenosis or a large aneurysm? Has anyone had surgery while pregnant? Does anyone have any survival rate statistics for people who have AVR and/or aneurysm repair, in their thirties or forties? Most statistics include a whole lot of old people. I don't know what the long term survival rate is for people like me.

Thanks!
 
Can you tell us how the stenosis and regurgitation are now classified?
What does your OB say about risks associated with carrying a baby to term?
My daughter is pregnant, and because of our family history of BAVD, she has an appointment with a neonatalogist today so an echo can be run on the baby. They are taking the bicuspid link seriously.
Who is managing your health care? I hope you're not relying on a walk-in clinic to offer much for a known valve condition.:confused:
I should also mention that I'm a bicuspid and also carried five babies to term, but there was no aneurysm involved.
 
I can't contribute any information as I have not experienced this journey you are taking. I just want to commend you for standing up for yourself in the ER. YOU GO GIRL!

I truly wish the best for you, and others will come along soon with more knowledge to help you!
 
It would be interesting to know your general location. You need to see a specialist pronto and we might be able to point you in the right direction if we knew where in the USA you are.
 
Hi

I am new here myself and just learning about this disease so I do not have anything to offer but I wanted to say welcome and you are in the right place for support and information. A lot of your story sounds so familiar to probably most of the members here and that is so sad, and they want to blame your problems on stress, but they don?t stop to realize they are contributing to any stress. Please listen to these guys when they say get to the best specialist in congenital heart disease your insurance will allow in your area, as in our experience even the larger hospital in our area did not know what was going on and is not interested in trying to find out. Good luck and keep us posted.

Diana
 
Welcome! I'm glad you found us. Your experience with doctors dismissing you sounded very similar to mine. Some drs and nurses just can wrap their mind around young people having heart issues.

Don't be afraid to post where you are from. I've never had any problems with people taking advantage of that information. Not to say it won't happen, but it would be very rare.
 
Hi...I can't speak to your heart condition specifically, however, I did have 2 pregnancies with my squeaky heart. I was followed more closely by my ob/gyn and saw my cardio several times through out my pregnancy. During delivery, I really wasn't allowed to push at all. They were both delivered using a combination of forceps and ventous (sp?). I'd be really surprised if they didn't do at least this for you. When I finally went to the Mayo last fall for the first time, they were shocked that my local Dr.s had agreed to let me get pregnant and said they would have not wanted me to then and told me to not even think about it now. I'm no worse for wear and I have my 2 beautiful kids in the process.

Find good Dr.'s to help guide you and I wouldn't worry to much about the x-ray's...I'm sure that happens frequently to women who are unaware they are pregnant.

Good luck to you and your baby

Kim
 
Thanks everyone for responding!

Mary- I haven't been told the results of the new echo yet. I'll ask for a copy when I go in for my MRA or to the follow up with my cardiologist. I just found out that I'm pregnant, and I asked my cardiologsit if he knows a perinatologist with experience in my situation, and he's looking into it. No, I'm not using a same-day clinic for heart care. :p I was in there to have my wrist looked at, and was hoping he'd run some tests so I didn't have to go into the ER. He could easily have ordered the same tests...without me paying the higher co-pay, lol. I wanted to go to a cardiologist, but it was a two month wait at that time. Now that I'm diagnosed with an aneurysm, I get to go to the front of the line. But at the time, I just knew it was a bad idea to wait, which is why I mentioned it to the clinic doctor, and then went to the ER when he didn't help me.

I live in the Minneapolis area. The cardiologist I saw was a good one, but he is referring me to a guy whose area of expertise is valve and aortic disease. I haven't seen the second guy yet, I'll see him after I get my MRA in two weeks.

Kim- I'm trying not to worry about the x-rays. If it were one, I wouldn't worry too much...but a CT with contrast and five x-rays in one day? That does worry me. Especially since they couldn't shield my abdomen for the CT. Hopefully it won't cause problems.
 
BicuspidBoy- I couldn't access the first article. It appears to be on a site where you need a membership to view it. The second article was pretty informative. Although it was so scary I almost had a heart attack reading it. ;)
Thanks for the links!
 
I understand

I understand

Hello and welcome. Just a few similarities- I too am 30, live in the Mpls area, and had two wonderful kids all while sporting a tissue valve placed when I was 20 and aortic aneurysm. I am three weeks post op from getting a mechanical valve at Mayo. I would recommend you see Dr Sundt at Mayo, who has many relevent publications that can be found on the Mayo website. His specialty is aortic aneurysms and valves, and performs 75-100 per year. During my pregnancies I was monitored by my cardiologist and OB. I had two c-sections, but more due to the size of the babies than my valve. I had an aneurysm of 5 for about 8 years (during which time I had the two kids), and then just recently went up to 5.5 at the time of surgery. The valve was the bigger issue pre-surgery- as the tissue valve had become calcified (stenosis). It will obviously be up to your Drs and will all depend on your numbers from the echo. Good luck, and keep us updated!
Ingrid
 
Thanks everyone for responding!

Mary- I haven't been told the results of the new echo yet. I'll ask for a copy when I go in for my MRA or to the follow up with my cardiologist. I just found out that I'm pregnant, and I asked my cardiologsit if he knows a perinatologist with experience in my situation, and he's looking into it. No, I'm not using a same-day clinic for heart care. :p I was in there to have my wrist looked at, and was hoping he'd run some tests so I didn't have to go into the ER. He could easily have ordered the same tests...without me paying the higher co-pay, lol. I wanted to go to a cardiologist, but it was a two month wait at that time. Now that I'm diagnosed with an aneurysm, I get to go to the front of the line. But at the time, I just knew it was a bad idea to wait, which is why I mentioned it to the clinic doctor, and then went to the ER when he didn't help me.

I live in the Minneapolis area. The cardiologist I saw was a good one, but he is referring me to a guy whose area of expertise is valve and aortic disease. I haven't seen the second guy yet, I'll see him after I get my MRA in two weeks.

Kim- I'm trying not to worry about the x-rays. If it were one, I wouldn't worry too much...but a CT with contrast and five x-rays in one day? That does worry me. Especially since they couldn't shield my abdomen for the CT. Hopefully it won't cause problems.


Hello, and Welcome :)

We are in Northern Minnesota and my husband doctored at Mayo Clinic Rochester following acute complications at another hospital.

Keep us posted on how you are doing!
 
My best friend is a radiologist. I'll call her tomorrow and ask her what she thinks about the x-rays and ct. I second about going to Mayo, especially since you are so close. They are fantastic there.

Kim
 
I thought about going to Mayo, but it would be very difficult and expensive to travel there for appointments, and I wouldn't be able to have anyone visit me because of the distance. It's a 2 1/2 hour drive, and my husband needs to stay with the kids. I've heard good things about Mayo, though.

BicuspidBoy- Thanks for the new link! That one worked. Based on what I read in the second linked article, I'm leaning towards getting the surgery now, if they'll let me. The timing would be best for me, and it looks like the risks for the baby are the same either way, whereas the risks for me are much higher if I don't get the surgery. I'm just really worried, since my symptoms seem to worsen by the day.

Kfay- Thanks, I'll be glad to hear what the radiologist says.
 
I thought about going to Mayo, but it would be very difficult and expensive to travel there for appointments, and I wouldn't be able to have anyone visit me because of the distance. It's a 2 1/2 hour drive, and my husband needs to stay with the kids. I've heard good things about Mayo, though.

BicuspidBoy- Thanks for the new link! That one worked. Based on what I read in the second linked article, I'm leaning towards getting the surgery now, if they'll let me. The timing would be best for me, and it looks like the risks for the baby are the same either way, whereas the risks for me are much higher if I don't get the surgery. I'm just really worried, since my symptoms seem to worsen by the day.

Kfay- Thanks, I'll be glad to hear what the radiologist says.

They Mayo Clinic has some housing options and help for those needing to travel. I would still give them a call and explain your situation if you are interested. My father-in-law, a heart transplant recipiant, was also doctoring at the Mayo and my mother-in-law rented a cute little apartment for less than $100.00 per week. Family would come, go and stay with her (I believe it was a 3 bedroom w/couch). I could get more details if you would like. We would run to Walmart every day or two. My father-in-law's stays were very lengthy-3+weeks at at time. When my husband (then 34) had endocarditis his stay was about a week, and with his surgery his stay was a total of 4 days.

Take care!
 
Sorry i can't give you any answers, just wanted to say best wishes and hope it all goes well.
 
With your particularly involved situation, I would definitely get, at least, a consult with Mayo. This is one of the top places in the country and you have some complexities to your situation that I would want to get their opinion on, if it were me.
 
I thought about going to Mayo, but it would be very difficult and expensive to travel there for appointments, and I wouldn't be able to have anyone visit me because of the distance. It's a 2 1/2 hour drive, and my husband needs to stay with the kids. I've heard good things about Mayo, though.

BicuspidBoy- Thanks for the new link! That one worked. Based on what I read in the second linked article, I'm leaning towards getting the surgery now, if they'll let me. The timing would be best for me, and it looks like the risks for the baby are the same either way, whereas the risks for me are much higher if I don't get the surgery. I'm just really worried, since my symptoms seem to worsen by the day.

Kfay- Thanks, I'll be glad to hear what the radiologist says.

I read in a previous post that you live in the Minneapolis area. I went to college in Winona, and at least in my mind, Rochester isn't too far from the Twin cities.
After you read more member posts, I think you will find that probably at least50% have traveled some distance to have replacement, and their conditions were not nearly as complicated as your own. Mine was done 100 miles from home, even though our local hospital performs valve replacements, and I thought I got off easy. I suppose what I'm saying is that many members facing valve replacement would be thrilled to live 100 miles from Mayo Clinic. Maybe you haven't had time to fully absorb what is involved in your situation, but once you do, I think you will want an opinion from Mayo.
 
My husband had surgery at Cleveland Clinic which was eight hours away from our home. If we had to make the choice again we would do the same thing. It is definitely difficult to be away from home but you will be amazed how things fall in place if you decide to pursue help at Mayo. Since your case is complicated, please consider this option!

You will want family around you after surgery, but trust me, visits from friends will be the last thing on your list. They can celebrate with you once you get home...........
 
We drove 3 hours on friday to meet my son's surgeon and thats where he will be having his operation. I would say we would travel just about anywhere for the best. Dont let the travel be a concern as long as you get the best, is all that matters. Hope you find the best place for you and continude best wishes.
 
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