Key result
A pregnant patient with a mechanical mitral valve developed a nonobstructive thrombus causing an embolic acute myocardial infarction, highlighting the challenges of anticoagulation during pregnancy.
Case Report (n=1)
Highlights the challenges and critical importance of adequate anticoagulation and the potential use of thrombolytic therapy in pregnant patients with mechanical heart valves.
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Embolic MI risk in pregnant mechanical valve patients warrants anticoagulation vigilance; leaves open optimal management strategies.
Mechanical valves are inherently thrombogenic and require meticulous anticoagulation. Pregnancy produces a hypercoagulable state and achieving adequate anticoagulation is difficult. We present a pregnant patient who had a nonobstructive thrombus of mechanical mitral valve causing embolic acute myocardial infarction. Issues surrounding management of anticoagulation and use of thrombolytic therapy during pregnancy are discussed. Education regarding the critical nature of adequate anticoagulation in these patients is important.
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Varadarajan et al. (2006) conducted a case report in Prosthetic valve thrombosis presenting as acute embolic myocardial infarction (n=1). Anticoagulation and thrombolytic therapy was evaluated. A pregnant patient with a mechanical mitral valve developed a nonobstructive thrombus causing an embolic acute myocardial infarction, highlighting the challenges of anticoagulation during pregnancy.
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