{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:17:48Z","timestamp":1783113468586,"version":"3.54.6"},"reference-count":11,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>Asymptomatic severe aortic stenosis (AS) during pregnancy remains challenging; however, the postponement of surgery with the possibility of valvuloplasty as a bridge therapy seems reasonable. Our case showed that despite physiological changes during pregnancy, the aortic valve defect did not worsen, which allowed us to avoid dilemmas related to anticoagulation on artificial valve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>A 31\u2010year\u2010old woman, with a bicuspid aortic aorta, post\u2010aortic valvulotomy, was listed for cardiac surgery because of severe aortic stenosis. However, the operation was postponed due to procreation plans. During the pregnancy and delivery, we did not observe neither deterioration of symptoms nor changes of echocardiographic parameters. Subsequent monthly echocardiographic studies did not reveal a significant increase of peak and mean aortic gradient.<\/jats:p>\n                    <jats:p>Presented case reports showed that despite physiological changes associated with pregnancy, the aortic valve defect did not worsen, which allowed to avoid dilemmas related to anticoagulation on artificial valves.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8104","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:30:38Z","timestamp":1703032238000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of pregnant patient with stenotic bicuspid aortic valve"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8737-2453","authenticated-orcid":false,"given":"Joanna","family":"Lewek","sequence":"first","affiliation":[{"name":"Department of Preventive Cardiology and Lipidology, Chair of Nephrology and Hypertension Medical University of Lodz  Lodz Poland"},{"name":"Department of Cardiology and Congenital Diseases of Adults Polish Mother's Memorial Hospital Research Institute (PMMHRI)  Lodz Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Maciejewski","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Congenital Diseases of Adults Polish Mother's Memorial Hospital Research Institute (PMMHRI)  Lodz Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6690-6874","authenticated-orcid":false,"given":"Maciej","family":"Banach","sequence":"additional","affiliation":[{"name":"Department of Preventive Cardiology and Lipidology, Chair of Nephrology and Hypertension Medical University of Lodz  Lodz Poland"},{"name":"Department of Cardiology and Congenital Diseases of Adults Polish Mother's Memorial Hospital Research Institute (PMMHRI)  Lodz Poland"},{"name":"Cardiovascular Research Centre  Zielona G\u00f3ra Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata Magdalena","family":"Bielecka\u2010D\u0105browa","sequence":"additional","affiliation":[{"name":"Department of Preventive Cardiology and Lipidology, Chair of Nephrology and Hypertension Medical University of Lodz  Lodz Poland"},{"name":"Department of Cardiology and Congenital Diseases of Adults Polish Mother's Memorial Hospital Research Institute (PMMHRI)  Lodz Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.12.068"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2016-052"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2016-021"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.07.750"},{"key":"e_1_2_10_6_1","article-title":"ESC\/EACTS scientific document group, 2021 ESC\/EACTS guidelines for the management of valvular heart disease: developed by the task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio\u2010Thoracic Surgery (EACTS)","volume":"62","author":"Vahanian A","year":"2021","journal-title":"Eur Heart J"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy340"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.015242"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.08.022"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2017.05.128"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/24748706.2020.1734701"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa554"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.8104","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:27:32Z","timestamp":1783110452000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":11,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/ccr3.8104"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8104","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"2023-05-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8104"}}