Why the study?
Does emergency surgery including cesarean section and valve thrombectomy improve survival in a pregnant woman with acute mechanical mitral valve thrombosis?
Does emergency surgery including cesarean section and valve thrombectomy improve survival in a pregnant woman with acute mechanical mitral valve thrombosis?
Emergency combined cesarean section and valve thrombectomy can be a successful life-saving strategy for acute mechanical mitral valve thrombosis late in pregnancy.
Supports feasibility of combined cesarean-valve thrombectomy in late-pregnancy thrombosis; hypothesis-generating and should not yet change practice.
A case of acute thrombosis of a mechanical mitral valve prosthesis (Medtronic-Hall) in a 34 weeks pregnant woman is reported. The clinical diagnosis was confirmed by Doppler echocardiography. Emergency surgery was performed starting with a cesarean section to save the fetus, followed by an obstetric hysterectomy. Valve thrombectomy could then be safely carried out. Both, the mother and child could be rescued by this combined intervention and were discharged from the hospital without further complications.
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González‐Santos et al. (1986) studied this question.
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