Pregnancy and delivery after right common carotid artery endarterectomy.
BACKGROUND
Carotid artery atherosclerosis and essential hypercholesterolemia can add a predisposing risk factor for coagulation in pregnancy. Careful management of anticoagulation during labor, delivery, and puerperium is called for in such a case.


METHODS
A 41-year-old woman, gravida 2, para 1, with a previous endarterectomy at the right common carotid artery because of atherosclerotic plaques, underwent anticoagulation studies and prophylactic antithrombotic therapy. Low-molecular-weight heparin was administrated during pregnancy and puerperium. She successfully delivered by cesarean at 36 weeks of gestation.


CONCLUSIONS
Low-molecular-weight heparin treatment is an effective and safe therapy in pregnancy. The healthy course of therapy, delivery, and puerperium reported here is a reference that may support women with a similar history.
Severi
Filiberto M
FM
Obstetrics and Gynecology, Department of Pediatrics, Obstetrics and Reproductive Medicine, and Vascular Surgery, University of Siena, Siena, Italy.
Ignacchiti
Erika
E
Setacci
Francesco
F
Palasciano
Giancarlo
G
Setacci
Carlo
C
Petraglia
Felice
F
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D001946:Breech Presentation; D016893:Carotid Stenosis / Q000601:surgery*; D002585:Cesarean Section; D016894:Endarterectomy, Carotid; D005260:Female; D047109:Fetal Development / Q000502:physiology; D005500:Follow-Up Studies; D005865:Gestational Age; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use*; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000188:drug therapy*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D018570:Risk Assessment
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight