A pregnant woman with a mechanical prosthetic valve |
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Affiliation: | 1. Hospital Garcia de Orta, Almada, Portugal;2. Hospital da Cruz Vermelha Portuguesa, Lisboa, Portugal |
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Abstract: | A 24-year-old woman who was 11 weeks pregnant and had a mechanical mitral valve presented at the emergency department with ischemic stroke. Although treatment with aspirin and unfractionated heparin was initially successful, subsequent management was almost impossible, as she eventually suffered a right hemispheric stroke, requiring percutaneous intervention and an emergency cesarian; prosthetic valve thrombosis with hemodynamic instability; and multiple bleeding complications. This case demonstrates how difficult it can be to select the appropriate treatment strategy for prosthetic valve thrombosis. |
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Keywords: | Pregnancy and cardiovascular disease Embolism and thrombosis Heart valve prosthesis Gravidez e doença cardiovascular Trombose e embolia Prótese valvular cardíaca |
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