SavedAdd your journal

Journals / Türk Kardiyoloji Derneği Arşivi / 2009 / Cilt: 37 - Sayı: 1

Prosthetic mechanic valve thrombosis in pregnant women: a report of two cases

Gebelerde mekanik protez kapak trombozu: İki olgu sunumu

Orhan DOĞDU
Mehmet Güngör KAYA
Ali DOĞAN
Mehmet Tuğrul İNANÇ
Pages
57–60
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Both patients were free of symptoms

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Patients with prosthetic mechanical heart valves should always be on prophylactic anticoagulation therapy for thromboembolic events.
📊
Key Findings & Data:As pregnancy represents a highrisk period for thrombosis, those with mechanical heart valves should be accorded greater importance.
💡
Conclusion & Impact:Both patients were free of symptoms
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Patients with prosthetic mechanical heart valves should always be on prophylactic anticoagulation therapy for thromboembolic events. As pregnancy represents a highrisk period for thrombosis, those with mechanical heart valves should be accorded greater importance. We presented two pregnant patients with prosthetic mechanical mitral valves, who developed mechanical valve thrombosis while on fractionated and unfractionated heparin treatment, respectively. One patient received intensive anticoagulation treatment, and the other underwent redo valve replacement. Both patients were free of symptoms

Özet

Mekanik kalp kapağı olan hastalarda tromboembolik olaylara yönelik profilaksi için antikoagülasyon tedavisinin ömür boyu sürdürülmesi gerekir. Gebelik tromboza yatkınlık oluşturan yüksek riskli bir dönem olduğundan, protez kalp kapağı takılmış olan gebe hastalar ayrıca önem kazanmaktadır. Bu yazıda, mitral protez kapak nedeniyle fraksiyone olan ve olmayan heparin kullanımı sırasında kapak trombozu gelişen iki gebe olgu sunuldu. Olgulardan biri yoğun antikoagülasyonla, diğeri ise acil kapak değişimi ile başarılı şekilde tedavi edildi

🔖

Cite This Article

DOĞDU, O., KAYA, M. G., DOĞAN, A., İNANÇ, M. T. (2022). Prosthetic mechanic valve thrombosis in pregnant women: a report of two cases. Türk Kardiyoloji Derneği Arşivi, Cilt: 37 - Sayı: 1, 57–60. https://ajindex.com/articles/633362

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, et al. Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J 2007;28:230-68
  2. Bonow RO, Carabello BA, Kanu C, de Leon AC Jr, Faxon DP, Freed MD, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines. Circulation 2006;114:e84-231
  3. Sadler L, McCowan L, White H, Stewart A, Bracken M, North R. Pregnancy outcomes and cardiac complications in women with mechanical, bioprosthetic and homograft valves. BJOG 2000;107:245-53
  4. Sbarouni E, Oakley CM. Outcome of pregnancy in women with valve prostheses. Br Heart J 1994;71:196-201
  5. Caruso A, de Carolis S, Ferrazzani S, Paradisi G, Pomini F, Pompei A. Pregnancy outcome in women with cardiac valve prosthesis. Eur J Obstet Gynecol Reprod Biol 1994;54:7-11
  6. Bhatla N, Lal S, Behera G, Kriplani A, Mittal S, Agarwal N, et al. Cardiac disease in pregnancy. Int J Gynaecol Obstet 2003;82:153-9
  7. Tuygun AK, Olsun A, Yurtseven N, Karaca P, Çiloğlu U, Tuygun A ve ark. Gebelik ve açık kalp cerrahisi: iki ucu keskin kılıç. Türk Göğüs Kalp Damar Cer Derg 2004;12:262-4
  8. Ulaş MM, Çağlı K, Çetin E, Boysan E, Mavioğlu L, Sarıtaş A. Mitral kapak replasmanı sonrası ikinci gebeliği esnasında tromboza bağlı mekanik kapak disfonksiyonu nedeniyle opere edilen bir hasta. Anadolu Kardiyol Derg 2005;5:240-1
  9. Koçak T, Güzelmeriç F, Oğuş H, Orki T, Erkılıç A. Mitral protez kapak disfonksiyonu ve pulmoner hipertansiyonu olan gebede acil sezaryen operasyonunda anestezik yaklaşım (olgu sunumu). Anestezi Dergisi 2006;14:269-72
  10. Ginsberg JS, Hirsh J. Use of antithrombotic agents during pregnancy. Chest 1995;108(4 Suppl):305S-311S
  11. Elkayam UR. Anticoagulation in pregnant women with prosthetic heart valves: a double jeopardy. J Am Coll Cardiol 1996;27:1704-6
  12. Jamieson WR, Miller DC, Akins CW, Munro AI, Glower DD, Moore KA, et al. Pregnancy and bioprostheses: influence on structural valve deterioration. Ann Thorac Surg 1995;60(2 Suppl):S282-6
  13. Hanania G, Thomas D, Michel PL, Garbarz E, Age C, Millaire A, et al. Pregnancy in patients with heart valve prosthesis. A French retrospective cooperative study (155 cases). Arch Mal Coeur Vaiss 1994;87:429-37. [Abstract] 14. Born D, Martinez EE, Almeida PA,