Emergent surgical treatment of lethal valve dysfunction during pregnancy in a last-trimester patient

A mechanical heart valve thrombosis during pregnancy is one of the most lethal conditions to experience due to its detrimental effects on both mother and fetus. Cardiac surgery during pregnancy is reserved for cases where medical treatment fails due to harmful maternal and fetal effects. A 24-year-o...

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Bibliographic Details
Published in:Saudi medical journal 2018-12, Vol.39 (12), p.1249-1252
Main Authors: Akbayrak, Hakan, Çiçek, Ömer F, Orhan, Atilla
Format: Article
Language:English
Subjects:
Anticoagulants
Anticoagulants - therapeutic use
Care and treatment
Case Report
Case reports
Cesarean Section
Device Removal - methods
Dyspnea
Echocardiography
Embolisms
Emergency medical care
Female
Fetuses
Health aspects
Heart rate
Heart Septal Defects, Atrial - surgery
Heart surgery
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - methods
Humans
Medication Adherence
Mitral Valve - surgery
Mitral Valve Insufficiency - surgery
Mortality
Patients
Pregnancy
Pregnancy Complications, Cardiovascular - surgery
Pregnancy Trimester, Third
Prostheses
Thrombosis
Thrombosis - surgery
Young Adult
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Summary:A mechanical heart valve thrombosis during pregnancy is one of the most lethal conditions to experience due to its detrimental effects on both mother and fetus. Cardiac surgery during pregnancy is reserved for cases where medical treatment fails due to harmful maternal and fetal effects. A 24-year-old female in the 38th week of pregnancy was admitted to the emergency room with aggravated dyspnea, tachypnea, and palpitations. She had 2 previous cardiac operations in her medical history. A stuck mechanical valve was diagnosed in the mitral position via transthoracic echocardiography, which had resulted from her decision to cease taking warfarin when planning to become pregnant. In pregnant patients who have prosthetic mechanical valve thrombosis, surgical approach should be considered depending on the conditions of the mother and the baby. When emergency delivery of the baby is feasible, emergent surgical treatment should be utilized for patients who are in critical condition.
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2018.12.22925