Key result
Anticoagulation nonadherence causes fatal coronary thromboembolism 7 years after Bentall procedure during pregnancy.
Why the study?
Aortic dissection during pregnancy is a rare, life-threatening condition requiring multidisciplinary management and lifelong anticoagulation after mechanical valve implantation.
Case Report (n=1)
This case highlights the critical importance of preconceptional counseling in women with aortic disease and the fatal consequences of non-compliance with lifelong anticoagulation after mechanical heart valve implantation.
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Adds rare case data on Bentall in early-pregnancy dissection; leaves open optimal timing and fetal-risk strategies.
Preveden et al. (2019) conducted a case report in Aortic dissection (n=1). Bentall procedure and subsequent anticoagulation non-compliance was evaluated on Clinical course and survival. A 22-year-old pregnant woman survived a Bentall procedure for aortic dissection but died 7 years later from a myocardial infarction due to coronary thromboembolism after stopping anticoagulation.
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