The multidisciplinary management of a mechanical mitral valve thrombosis in pregnancy: a case report and review of the literature.

ABSTRACT:

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 t

SUBMITTER: Wright JM 

PROVIDER: S-EPMC9668069 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature