Successful thrombectomy for thrombosis of aortic composite valve graft in pregnancy.
Prosthetic heart valve thrombosis in pregnancy is a life-threatening complication whose management remains controversial and particularly difficult because of the additional challenge to save the fetus. Thrombolysis, thrombectomy, or prosthetic replacement are the currently available options. We report the case of a 17-week pregnant patient who was successfully treated by emergency open-heart thrombectomy for thrombosis of an aortic composite valve graft. Pregnancy was carried to term and a healthy baby was vaginally delivered 5 months later.
Alessandrini
Francesco
F
Department of Cardiac Surgery, Policlinico Gemelli University Hospital, Catholic University of The Sacred Heart, Rome, Italy.
Lapenna
Elisabetta
E
Nasso
Giuseppe
G
De Bonis
Michele
M
Possati
Gian Federico
GF
D000328:Adult; D001021:Aortic Valve; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D011256:Pregnancy Outcome; D017131:Thrombectomy; D013927:Thrombosis / Q000601:surgery*