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Mechanical Aortic Valve Thrombus in Pregnancy: A Case Report
Marie-Louise Meng1, Ruth Landau1, Jennifer Haythe2
1From the Departments of Anesthesiology.
A&A Practice
|February 27, 2019
Summary
Pregnancy with a mechanical aortic valve presents risks. This case highlights managing a mechanical valve thrombosis during pregnancy with timely cesarean delivery and valve replacement.
Area of Science:
- Cardiology
- Obstetrics
- Cardiovascular Surgery
Background:
- Cardiac disease is a significant cause of maternal mortality.
- Mechanical valves in pregnancy require careful anticoagulation management due to hypercoagulability.
- Mechanical valve thrombosis is a severe complication in obstetric patients.
Observation:
- A pregnant woman at 37 weeks gestation with a mechanical aortic valve developed a thrombus.
- The hypercoagulable state of pregnancy increases the risk of thrombosis.
Findings:
- Cesarean delivery was performed to facilitate prompt mechanical aortic valve replacement.
- This approach aimed to manage the emergent valve thrombosis and ensure maternal safety.
Implications:
- This case underscores the critical need for vigilant cardiac monitoring in pregnant patients with mechanical valves.
- Timely intervention, including surgical valve replacement, can be life-saving.
- Management strategies must balance fetal delivery with maternal cardiac care.
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