Document Detail


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.
MedLine Citation:
PMID:  16151558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Asuquo N Inyang; Mark Jackson; Ashok Kumar; Andre Nychka; Galina Leyvi; Ilya Zhuravlev; Konstadinos Plestis; John Wasnick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in cardiothoracic and vascular anesthesia     Volume:  9     ISSN:  1089-2532     ISO Abbreviation:  Semin Cardiothorac Vasc Anesth     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-09     Completed Date:  2005-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9807630     Medline TA:  Semin Cardiothorac Vasc Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  261-3     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USA. ainyang@montefiore.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, General*
Anesthesia, Obstetrical*
Anticoagulants / therapeutic use
Aortic Valve Stenosis / complications*
Aphasia / etiology
Coronary Thrombosis / complications*
Female
Heart Valve Prosthesis*
Heparin, Low-Molecular-Weight / therapeutic use
Humans
Infant, Newborn
Patient Care Team
Postoperative Complications / psychology
Pregnancy
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Heparin, Low-Molecular-Weight

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


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