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Transthoracic echocardiography showed severe pulmonary valve stenosis, right ventricular hypertrophy, right ventricular and atrial dilatation with reduced right ventricular function. As the patient was symptomatic, she underwent percutaneous balloon pulmonary valvuloplasty. The procedure was successful with a significant reduction in the pulmonary valve gradient and the patient was discharged in stable condition with reduced symptoms. The timely intervention of the valvular stenotic lesion in pregnancy reduces the mortality risk to both the mother and the fetus.<\/jats:p>","DOI":"10.1136\/bcr-2021-246368","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T07:16:51Z","timestamp":1636615011000},"page":"e246368","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Percutaneous balloon pulmonary valvuloplasty in a pregnant woman with severe pulmonary valve restenosis"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4922-2806","authenticated-orcid":false,"given":"Dilip","family":"Johny","sequence":"first","affiliation":[{"name":"Department of Cardiology, KS Hegde Medical Academy, Mangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kodangala","family":"Subramanyam","sequence":"additional","affiliation":[{"name":"Department of Cardiology, KS Hegde Medical Academy, Mangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjana","family":"Shivanand","sequence":"additional","affiliation":[{"name":"Department of General Medicine, KS Hegde Medical Academy, Mangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8341-4430","authenticated-orcid":false,"given":"Vishanthika","family":"Rajamony","sequence":"additional","affiliation":[{"name":"Department of General Medicine, KS Hegde Medical Academy, Mangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"2025082802374790000_14.11.e246368.1","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.bpobgyn.2015.04.002","article-title":"Heart disease in pregnancy","volume":"29","author":"Emmanuel","year":"2015","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2025082802374790000_14.11.e246368.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02083294"},{"key":"2025082802374790000_14.11.e246368.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200001273420407"},{"key":"2025082802374790000_14.11.e246368.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198208263070907"},{"key":"2025082802374790000_14.11.e246368.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2010.10.038"},{"key":"2025082802374790000_14.11.e246368.6","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr218"},{"key":"2025082802374790000_14.11.e246368.7","doi-asserted-by":"publisher","DOI":"10.1161\/hc3001.093437"},{"key":"2025082802374790000_14.11.e246368.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2014.03.002"},{"key":"2025082802374790000_14.11.e246368.9","doi-asserted-by":"publisher","DOI":"10.1007\/s11897-012-0105-9"},{"key":"2025082802374790000_14.11.e246368.10","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/j.amjcard.2016.07.005","article-title":"Echocardiographic evaluation of hemodynamic changes in left-sided heart valves in pregnant women with valvular heart disease","volume":"118","author":"Samiei","year":"2016","journal-title":"Am J Cardiol"},{"key":"2025082802374790000_14.11.e246368.11","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000603"},{"key":"2025082802374790000_14.11.e246368.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.07.016"},{"key":"2025082802374790000_14.11.e246368.13","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2006.093849"},{"key":"2025082802374790000_14.11.e246368.14","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(88)90909-5"},{"key":"2025082802374790000_14.11.e246368.15","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199607043350104"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:37:53Z","timestamp":1756373873000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":15,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,11]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-246368"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246368","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}