Prosthetic heart valves and management during pregnancy.

نویسنده

  • Farida Mary Jeejeebhoy
چکیده

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 assessment are recommended, and care for these patients should be delivered throughout pregnancy in a specialized program for high-risk patients by a multidisciplinary team.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

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...

متن کامل

Valvular heart disease and pregnancy: part II: prosthetic valves.

A large number of prosthetic heart valves (PHV) are being implanted in patients with both congenital and acquired valvular disease. Many of the recipients of such valves are women of childbearing age who desire to have children. The main issues involved with pregnancy in a patient with PHV include the selection of PHV in women during their childbearing age, risks to both the mother and the fetu...

متن کامل

Management of anticoagulant therapy during pregnancy in patients with prosthetic heart valves.

We describe two patients with Starr-Edwards mitral valve replacements who underwent pregnancy on oral anticoagulants and who were successfully delivered of live babies. The literature on pregnancy with prosthetic heart valves is reviewed. It is suggested that properly controlled oral anticoagulation should be continued until the onset of labour; the anticoagulant effect should then be reversed ...

متن کامل

Antithrombotic Therapy in Patients with Prosthetic Heart Valves

Patients with mechanical valve prostheses require a lifelong anticoagulant treatment. The combined use of Warfarin and low-dose aspirin appears to reduce the risk of valve thrombosis and systemic embolism at a low risk of bleeding. The management of women with prosthetic heart valves during pregnancy poses a particular challenge, as there are no available controlled clinical trials to provide g...

متن کامل

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...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Canadian family physician Medecin de famille canadien

دوره 55 2  شماره 

صفحات  -

تاریخ انتشار 2009