Key result
Emergent caesarean section followed by bioprosthetic mitral valve replacement was successfully performed in a 39-year-old pregnant woman with mechanical mitral valve thrombosis.
Why the study?
Anticoagulation management for mechanical heart valves during pregnancy is challenging, and cardiac surgery for prosthetic valve dysfunction in pregnant patients carries high maternofetal morbidity and mortality.
Population
One 39-year-old pregnant woman at 30 weeks gestation with mechanical mitral valve thrombosis
Comparison
Emergent caesarean section followed immediately by bioprosthetic mitral valve replacement
Design
Case report and review of the literature
Authors
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Supports multidisciplinary surgical approach for mechanical valve thrombosis in pregnancy; extends sparse evidence but remains hypothesis-generating.
Case Report (n=1)
A proactive, multidisciplinary approach to the surgical management of mechanical valve thrombosis in pregnancy can maximize the chances of successful maternal and fetal outcomes.
Wright et al. (2022) conducted a case report in Mechanical mitral valve thrombosis in pregnancy (n=1). Emergent caesarean section followed by bioprosthetic mitral valve replacement was evaluated. Emergent caesarean section followed by bioprosthetic mitral valve replacement was successfully performed in a 39-year-old pregnant woman with mechanical mitral valve thrombosis.
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