Mechanical Valve Thrombosis in a Pregnant Patient: A Case of Therapeutic Failure.

Publication/Presentation Date

9-10-2019

Abstract

Mechanical valve thrombosis is life-threatening complication especially in pregnant patients. The optimal anticoagulation regimen is still not certain as there are different fetal and maternal risks associated with anticoagulation. A 37-year-old woman with a history of rheumatic heart disease with a mechanical mitral valve replacement 13 years prior presented to the hospital with dyspnea on mild exertion associated with orthopnea for three days. She was nine weeks pregnant, she had been on warfarin prior to pregnancy, and was switched to low molecular weight heparin (LMWH) in her 6th week of pregnancy. Fluoroscopy showed that one leaflet of the mitral valve was nearly fixed, while the other leaflet had restricted motion at maximal opening. Transesophageal echocardiogram (TEE) showed a very large thrombus approximately 3-4 cm

Volume

11

Issue

9

First Page

5615

Last Page

5615

ISSN

2168-8184

Disciplines

Medicine and Health Sciences

PubMedID

31720131

Department(s)

Department of Medicine, Cardiology Division, Fellows and Residents

Document Type

Article

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