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Heart Team Approach for Cardiogenic Shock Management in Pregnancy Complicated by Mechanical Mitral Valve Thrombosis

Ritu Yadav1, Arune A Gulati2, Karan Kapoor3

  • 1Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.

JACC. Case Reports
|December 14, 2023
PubMed

A 27-year-old pregnant woman at 24 weeks of gestation was admitted with cardiogenic shock due to mechanical mitral valve thrombosis. Following discussion with the heart team, thrombolysis was achieved with tissue plasminogen activator therapy followed by heparin infusion. Ultimately, the patient required mitral valve replacement for persistently elevated gradients.

Keywords:
cardiogenic shockmechanical valve thrombosismitral valve stenosisthrombolysis

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