| Autor: |
Wright, Jennifer M, Bottega, Natalie, Therrien, Judith, Hatzakorzian, Roupen, Buithieu, Jean, Shum-Tim, Dominique, Wou, Karen, Ghandour, Amale, Pelletier, Patricia, Shan, William Li Pi, Kaufman, Ian, Brown, Richard, Malhamé, Isabelle |
| Předmět: |
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| Zdroj: |
European Heart Journal Case Reports; Nov2022, Vol. 6 Issue 11, p1-7, 7p |
| Abstrakt: |
Background The management of anticoagulation for mechanical heart valves during pregnancy poses a unique challenge. Mechanical valve thrombosis is a devastating complication for which surgery is often the treatment of choice. However, cardiac surgery for prosthetic valve dysfunction in pregnant patients confers a high risk of maternofetal morbidity and mortality. Case summary A 39-year-old woman in her first pregnancy at 30 weeks gestation presented to hospital with a mechanical mitral valve thrombosis despite therapeutic anticoagulation with low-molecular-weight heparin. She underwent an emergent caesarean section followed immediately by a bioprosthetic mitral valve replacement. This occurred after careful planning and organization on the part of a large multidisciplinary team. Discussion A proactive, rather than reactive, approach to the surgical management of a mechanical valve thrombosis in pregnancy will maximize the chances of successful maternal and fetal outcomes. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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