Approach To Pregnant Women with Mechanical Mitral Valve Prosthesis: A Case Report

Year 2024, Volume: 13 Issue: 1, 32 - 36, 30.04.2024

Funda Dağıstanlı , Pelin Oyardı

https://doi.org/10.47493/abantmedj.1377086

Abstract

Cardiovascular diseases are one of the leading causes of maternal mortality. The management of pregnant women with mechanical valve prosthesis is difficult. Fetal-maternal mortality and morbidity are high. Selection of the most appropriate anticoagulant that will minimize fetal, maternal mortality and avoid embryopathy risk should be tailored according to the needs of each individual patient.
In this paper, in the light of the literature, we aimed to discuss our patient, who delivered at 39th gestational week after a pregnancy before which she had not been provided with prepregnancy counseling and during which she did not attend follow-up visits.
These patients prepregnancy counseling, follow-up visits, anticoagulant management during pregnancy, and prophylaxis and management of complications at the postpartum period are very important and require close follow-up.

Keywords

mechanical prosthesis, mitral valve, pregnancy, hearth desease

Thanks

We would like to thank our gynecology and obstetrician and cardiologist colleagues who followed up the patient when she was referred to the tertiary center.

Mekanik Mitral Kapak Protezi Olan Gebeye Yaklaşım

Abstract

Kardiyovasküler hastalıklar anne ölümlerinin en önemli sebeplerindendir. Mekanik kapak protezi olan gebe hastalarda yönetim zordur. Fetal-maternal mortalite ve morbidite yüksektir. Fetal, maternal mortalite ve morbiditeyi en aza indirecek, embriyopati riski oluşturmayacak en uygun antikoagülan seçimi hastaya göre planlanmalıdır. Mekanik kapak protezi olan hastalarda gebelik öncesi danışmanlık, gebelik sürecinde takip ve antikoagülan yönetimi, postpartum dönemde de profilaksi ve komplikasyon yönetimi çok önemlidir, yakın takip gerektirir. Biz bu yazımızda gebelik öncesi danışmanlık almamış, gebelik süresinde de takiplere uyumu olmayan, otuz dokuzuncu gebelik haftasında doğumu yaptırılan olgumu literatür eşliğinde tartışmayı amaçladık.

Keywords

mekanik protez, mitral kapak, gebelik, kalp hastalıkları

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