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Published on: June 12, 2021
Managing a Pregnant Patient With a Mechanical Heart Valve and Subchorionic Hematomas
Jenica Thangathurai1, Shakeela Faulkner2, Nare Torosyan3
1Division of Cardiovascular Medicine, Department of Medicine, Maternal Cardiology Service, University of Southern California, Los Angeles, California, USA.
Managing anticoagulation in pregnant patients with mechanical heart valves and severe left ventricular dysfunction requires balancing risks. Adjusting low-molecular-weight heparin to a lower therapeutic anti-Xa target successfully managed bleeding complications in a complex case.
Area of Science:
- Cardiology
- Obstetrics
- Pharmacology
Background:
- Managing anticoagulation in pregnant patients with mechanical heart valves (MHVs) and severe left ventricular dysfunction (SLVD) presents a dual risk of thrombosis and bleeding.
- This clinical scenario is particularly complex due to physiological changes during pregnancy.
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