Key result
Coronary angiography with thromboaspiration successfully treated a coronary embolism complicating mechanical mitral valve thrombosis in a pregnant woman, leading to complete thrombus dissolution and a healthy delivery.
Why the study?
Coronary embolism from prosthetic valve thrombosis during pregnancy is rare and requires an urgent pharmaco-invasive approach adapted to pregnancy-associated hypercoagulability and anticoagulation challenges.
Case Report (n=1)
Coronary embolism complicating prosthetic valve thrombosis in pregnancy can be successfully managed with an urgent pharmaco-invasive approach including thromboaspiration.
May inform urgent intervention in pregnant patients with mechanical valve thrombosis; leaves open efficacy and safety in broader populations.
Mechanical heart valve thrombosis is not so rare in pregnant women because of the difficulties in managing anticoagulant treatment and the hypercoagulability state associated with pregnancy. Among the embolic complications of valve prosthetic thrombosis, the coronary embolism is rare, it requires an urgent pharmaco-invasive approach which must be adapted to this particular associated condition. We report the observation and the difficulties of managing antithrombotic therapy in a pregnant patient hospitalized for non-obstructive prosthetic valve thrombosis complicated by coronary embolism and resulting in ST elevation myocardial infarction.
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Makki et al. (2019) conducted a case report in Prosthetic thrombosis and coronary embolism during pregnancy (n=1). Coronary angiography with thromboaspiration was evaluated on Resolution of thrombus and successful pregnancy outcome. Coronary angiography with thromboaspiration successfully treated a coronary embolism complicating mechanical mitral valve thrombosis in a pregnant woman, leading to complete thrombus dissolution and a healthy delivery.
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