[The risk of cerebrovascular complications in the combination of pregnancy and mitral valve prolapse].
A case of left intraventricular thrombus, developed from a myxoid mitral valve and revealed by embolic cerebral vascular accidents at the end of a pregnancy, is reported. The links between a mitral valve prolapse and cerebral vascular accidents of embolic origin are studied during pre- and post-partum periods, where coagulation alterations are reviewed. It appears that, in pregnant women with a mitral valve prolapse, there is a maximum risk of developing an intra-cardiac thrombus in the last four weeks of pregnancy or immediately after delivery; this justifies, during that time, a thorough sonocardiographic monitoring.
D000328:Adult; D002561:Cerebrovascular Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D008945:Mitral Valve Prolapse / Q000150:complications*; D049590:Postpartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011263:Pregnancy Trimester, Third; D012306:Risk
Le risque d'accidents vasculaires cérébraux au cours de l'association grossesse et prolapsus valvulaire mitral.