Pregnancy in patients with prosthetic heart valves.

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Pregnancy in patients with prosthetic heart valves.

Pregnancy and delivery were analyzed in 23 women one to ten years after undergoing prosthetic heart valve replacement. The main points of management during pregnancy and delivery were cardiac management and management against thromboembolism. The functional status of the pregnant patients was grade I of the New York Heart Association criteria in eight, grade II in 13 and grade III and higher in...

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Pregnancy Outcome with Intracytoplasmic Sperm Injection Method in a Woman with Prosthetic Heart Valves

There is an increased risk of thromboembolism, anticoagulant-related hemorrhage, fetal-wastage and congestive cardiac failure in pregnant women with mechanical heart valves. In order to have a good outcome, the care of such patients must necessarily be multidisciplinary and in a well- equipped centre with adequate support services .One such patient who had mechanical mitral and aortic valves re...

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Prosthetic heart valves and pregnancy.

To the Editor: Pregnant women with mechanical heart valves are an ultrahigh-risk group, in whom all anticoagulant options pose maternal and/or fetal risks. It is unclear why the authors of the recent update1 selected 4 studies, neither the most recent nor of the highest quality, to give a warfarin embryopathy rate of 1.6%. This anomaly rate is not supported by evidence in their Table 1 (3.9% of...

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Prosthetic heart valves and management during pregnancy.

QUESTION What are the major concerns during pregnancy for women with prosthetic heart valves? ANSWER There are 2 types of prosthetic heart valves, bioprosthetic and mechanical. Although successful pregnancies are possible for women with prosthetic heart valves, there are potential complications-some of which can be fatal-for both types of valves. Therefore, preconception counseling and assess...

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Pregnancy outcome in women with prosthetic heart valves.

OBJECTIVE This study was undertaken to evaluate the risks and pregnancy outcome in women with prosthetic heart valves on different anticoagulent regimens. STUDY DESIGN A retrospective chart review of 82 pregnancies in 33 women with mechanical valve prostheses at a tertiary referral center from 1987 to 2002. The main outcome measures were major maternal complications and perinatal outcome. R...

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ژورنال

عنوان ژورنال: BMJ

سال: 1983

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.286.6379.1680