[Pregnancy in women with a mechanical heart valve. Review of the literature]. / Grossesse chez les femmes porteuses d'une valve cardiaque mécanique, Revue de la littérature.
J Gynecol Obstet Biol Reprod (Paris)
; 26(5): 455-64, 1997.
Article
em Fr
| MEDLINE
| ID: mdl-9417457
ABSTRACT
AIM:
To define therapeutic ways to manage obstetrics at an optimal level for a patient carrying a mechanical prosthetic heart valve.METHOD:
From a review of literature and documented cases, we propose an obstetrical and cardiological management scheme for pregnant patients carrying a mechanical prosthetic heart valve. We deal successively with the preventive (anticoagulation) and curative treatment (surgery and thrombolytic therapy) of valvular thrombosis, in fact, a severe -but unfortunately frequent- complication of these pregnancies.RESULTS:
Pregnancy concerning patients with mechanical prosthetic heart valves is a high-risk pregnancy. In fact, the risk of thrombo-embolic accidents even with a closely followed anticoagulant treatment seems to come from the existence of the prothese, the state of physiological hypercoagulation and peri-partum hemorrhages. Naturally, multidisciplinary follow-up is indispensable. The prescription of anticoagulant treatments must respect the main principals and the normal counter-indications in order to minimise maternal and fetal complications.CONCLUSION:
Pregnancy amongst patients carrying mechanical prosthetic heart valves should be considered rare and highly exceptional cases, from a cardio-vascular surgeon's point of view. For obstetricians, it is sometimes difficult to forbid pregnancy to a nullipara. The discussion whether to authorize a pregnancy will be treated case-by-case, holding into account the socio-cultural environment of the patient, as the principles of an anticoagulant treatment and the underlying risks must be well understood.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Complicações Cardiovasculares na Gravidez
/
Próteses Valvulares Cardíacas
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
Fr
Ano de publicação:
1997
Tipo de documento:
Article