Vol 61, No 7 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28
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Recurrent thrombosis of a mitral mechanical heart valve prosthesis during puerperium - a case report

Anna Lisowska, Jolanta Prokop, Tomasz Hirnle, Grzegorz Juszczyk, Elżbieta Skibińska, Włodzimierz Musiał, Ewa Klonowska-Dziatkiewicz
Kardiol Pol 2004;61(7):49-51.
Vol 61, No 7 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28

Abstract

Abstract: A case of a 27-year-old female with prosthetic mitral valve is presented. Prolonged anticoagulation therapy was continued during pregnancy without complications. During puerperium, the dose of subcutaneous low molecular weight heparin was reduced due to subcutaneous blood effusions. Subsequently, the patient developed acute left ventricular heart failure due to prosthetic valve thrombosis. She underwent urgent surgery with new prosthetic valve implantation. Two weeks later she suffered another episode of acute mitral prosthetic valve thrombosis which was effectively treated with intravenous heparin. Difficulties concerning prolonged anticoagulation during pregnancy and puerperium in patients with prosthetic valves are discussed.

Abstract

Abstract: A case of a 27-year-old female with prosthetic mitral valve is presented. Prolonged anticoagulation therapy was continued during pregnancy without complications. During puerperium, the dose of subcutaneous low molecular weight heparin was reduced due to subcutaneous blood effusions. Subsequently, the patient developed acute left ventricular heart failure due to prosthetic valve thrombosis. She underwent urgent surgery with new prosthetic valve implantation. Two weeks later she suffered another episode of acute mitral prosthetic valve thrombosis which was effectively treated with intravenous heparin. Difficulties concerning prolonged anticoagulation during pregnancy and puerperium in patients with prosthetic valves are discussed.
Get Citation

Keywords

prosthetic valve thrombosis - anticoagulants - puerperium

About this article
Title

Recurrent thrombosis of a mitral mechanical heart valve prosthesis during puerperium - a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 61, No 7 (2004)

Pages

49-51

Published online

2005-12-12

Bibliographic record

Kardiol Pol 2004;61(7):49-51.

Keywords

prosthetic valve thrombosis - anticoagulants - puerperium

Authors

Anna Lisowska
Jolanta Prokop
Tomasz Hirnle
Grzegorz Juszczyk
Elżbieta Skibińska
Włodzimierz Musiał
Ewa Klonowska-Dziatkiewicz

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