Document Detail

Open heart surgery for thrombosis of a prosthetic mitral valve during pregnancy. Fetal hydrocephalus.
MedLine Citation:
PMID:  3949868     Owner:  NLM     Status:  MEDLINE    
Pregnant women with cardiac valvular prostheses present an important risk factor and the major complications are endocarditis and thromboembolism. Thromboembolism is determined by a hypercoagulation state. Compulsory anticoagulation treatment is an associated risk factor producing maternal and fetal complications. Different open heart surgical cases during pregnancy have been reported and a review of the literature shows favourable maternal prognosis. A 30-year-old woman with a Björk-Shiley mitral prosthesis, during the 6th week of pregnancy presented with thrombosis and embolism due to a change in anticoagulation treatment from acenocumarol to heparin. Open heart surgery was carried out and the patient's course was favourable. A fetal hydrocephaly of unknown etiology was discovered during the 18th week of pregnancy. Open heart surgery during pregnancy and the necessity of thromboembolic prophylaxis, have been analysed and revised.
O J Lapiedra; J M Bernal; S Ninot; I Gonzalez; E Pastor; P J Miralles
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  27     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1986 Mar-Apr
Date Detail:
Created Date:  1986-04-10     Completed Date:  1986-04-10     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  217-20     Citation Subset:  IM    
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MeSH Terms
Cardiac Surgical Procedures / adverse effects*
Fetal Diseases / etiology*
Heart Valve Prosthesis / adverse effects*
Hydrocephalus / etiology*
Mitral Valve / surgery
Pregnancy Complications, Cardiovascular / surgery*
Thromboembolism / etiology,  surgery*
Warfarin / administration & dosage,  adverse effects
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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