Acute thrombosis of a St. Jude Medical aortic prosthesis in a pregnant woman.
A 24-year-old, 4-months pregnant woman developed an acute thrombosis of a St. Jude Medical aortic valve prosthesis. Upon admission, she was in cardiogenic shock. A thrombectomy was achieved in emergency under cardiopulmonary bypass. The patient survived but not the fetus. Diagnosis, surgical procedure, anticoagulation drugs and valve prostheses in pregnant women are discussed.
P
P
Donzeau Gouge
A
A
N'Guyen
B
B
Touchot
S
S
Dunica
S
S
Weber
F
F
Guerin
A
A
Piwnica
D000328:Adult; D001021:Aortic Valve; D004630:Emergencies; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D013927:Thrombosis / Q000601:surgery*