A successfully operated case of prosthetic valve thrombosis during planned pregnancy.
The patient was a 29-year-old woman who, when she was an 8-year-old, had undergone atrial septal defect (ASD) closure and mitral valve replacement (MVR) using a Björk-Shiley valve (25 mm) for Lutembacher syndrome. Because of a planned pregnancy, warfarin had been replaced by heparin. During the 7th week of pregnancy, she was admitted to our hospital because of dyspnea. She was diagnosed with acute heart failure due to prosthetic valve thrombosis. Following termination of pregnancy, the mitral valve was replaced with an ATS valve (25 mm). She was discharged 10 days after surgery without complications.
The Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.
Masao
M
Soeda
Motomi
M
Shiono
Tatsuya
T
Inoue
Mitsumasa
M
Hata
Akira
A
Sezai
Nanao
N
Negishi
Yukiyasu
Y
Sezai
D000032:Abortion, Therapeutic; D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage; D005260:Female; D006349:Heart Valve Diseases / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007279:Injections, Subcutaneous; D008943:Mitral Valve; D010314:Partial Thromboplastin Time; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*; D013927:Thrombosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery
D000925:Anticoagulants; D006493:Heparin