A report of a case: anesthetic management of a parturient with severe thrombotic stenosis of a mechanical aortic valve--an exercise in coordination of subspecialties.
Publication/Presentation Date
9-1-2005
Abstract
The pregnant woman with valvular heart disease presents significant challenges to the obstetric, anesthesiology, and cardiology teams. Although successful outcomes for both mother and fetus are possible with coordinated medical care, the patient with a prosthetic valve who requires systemic anticoagulation provides a dilemma of insufficient anticoagulation leading to valve thrombosis versus the risks of maternal perinatal hemorrhage or fetal effects from oral or parenteral anticoagulants. This case report describes the peripartum management of a patient at 27 weeks' gestation with thrombus on a prosthetic aortic valve.
Volume
9
Issue
3
First Page
261
Last Page
263
ISSN
1089-2532
Published In/Presented At
Inyang, A. N., Jackson, M., Kumar, A., Nychka, A., Leyvi, G., Zhuravlev, I., Plestis, K., & Wasnick, J. (2005). A report of a case: anesthetic management of a parturient with severe thrombotic stenosis of a mechanical aortic valve--an exercise in coordination of subspecialties. Seminars in cardiothoracic and vascular anesthesia, 9(3), 261–263. https://doi.org/10.1177/108925320500900308
Disciplines
Anesthesiology | Medicine and Health Sciences
PubMedID
16151558
Department(s)
Department of Anesthesiology
Document Type
Article