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This case report describes a pregnant patient with severe aortic stenosis. A multidisciplinary plan of care was developed for the antepartum, intrapartum, postpartum, and, ultimately, postoperative clinical course. Salient points reviewed include normal cardiovascular anatomy and physiology, hemodynamic and physiologic changes of pregnancy, bicuspid aortic valvular stenosis, and the patient's clinical data profile. Numerous psychosocial stresses and the need for specialized nursing added to the complexity of caring for this patient.