CLINICAL OBSERVATION: PROLONGATION OF PREGNANCY WITH A FAVORABLE OUTCOME IN A PATIENT WITH CRITICAL AORTIC PROSTHETIC THROMBOSIS


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Abstract

Background. Prosthetic heart valve thrombosis during pregnancy is a rare, but very serious complication and poses a threat to maternal and fetal life and the time and method of its treatment remain controversial. Description. The paper presents a case of successful pregnancy prolongation with a favorable outcome in a patient with critical aortic prosthetic thrombosis and further operations: delivery, aortic valve reprosthetic replacement, and dual chamber pacemaker implantation. Conclusion. In case of pregnancy prolongation, only a comprehensive approach to managing these patients may offer the prospect for a favorable outcome for a pregnant women and a fetus.

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About the authors

Gennady T. Sukhikh

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: g_sukhikh@oparina4.ru
PhD, MD, professor, academician of RAS, Director Moscow 117997, Ac. Oparina str. 4, Russia

Victor L Tyutyunnik

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: tioutiounnik@mail.ru
PhD, MD, the head of the obstetric physiological department Moscow 117997, Ac. Oparina str. 4, Russia

Natalia E Kan

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: kan-med@mail.ru
PhD, MD, the head of the obstetric observation department Moscow 117997, Ac. Oparina str. 4, Russia

Ravil M. Muratov

A.N. Bakulev Research Center of Cardiovascular Surgery, Federal Agency for Scientific Organizations

Email: r_muratov@bk.ru
PhD, MD, professor, the head of the emergency surgery department of acquired heart disease Moscow 121552, Rublevskoe shosse 135, Russia

Ludmila Y. Mokrinskaya

A.N. Bakulev Research Center of Cardiovascular Surgery, Federal Agency for Scientific Organizations

Email: carabidae@yandex.ru
cardiovascular surgeon laboratory of artificial blood circulation Moscow 121552, Rublevskoe shosse 135, Russia

Vladimir D. Chuprinin

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chuprinin@oparina4.ru
PhD, the head of the general surgery department Moscow 117997, Ac. Oparina str. 4, Russia

Svetlana I. Babenko

A.N. Bakulev Research Center of Cardiovascular Surgery, Federal Agency for Scientific Organizations

Email: r_muratov@bk.ru
PhD, leading researcher of the emergency surgery department of acquired heart disease Moscow 121552, Rublevskoe shosse 135, Russia

Anton S. Sachkov

A.N. Bakulev Research Center of Cardiovascular Surgery, Federal Agency for Scientific Organizations

Email: ansachkov@yandex.ru
PhD, researcher of the emergency surgery department of acquired heart disease Moscow 121552, Rublevskoe shosse 135, Russia

Olga A. Sergunina

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: o_sergunina@oparina4.ru
obstetrician-gynecologist of the obstetric observation department Moscow 117997, Ac. Oparina str. 4, Russia

Evgeniya V. Mashkantseva

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e_Mashkantceva@oparina4.ru
neonatologist-resuscitator of the neonatal intensive care department Moscow 117997, Ac. Oparina str. 4, Russia

References

  1. Краснопольский В.И., Мравян С.Р., Петрухин А.В., Коваленко Т.С. Беременность при пороках сердца: взгляд на проблему. Кардиология. 2011; 51(10): 92-5.
  2. Elkayam U., Bitar F. Valvular heart disease and pregnancy: part II: prosthetic valves. J. Am. Coll. Cardiol. 2005; 46(3): 403-10.
  3. Kaya E., Kocaba§ U., Aksoy H., Aytemir K, Tokgozoglu L. Successful fibrinolytic treatment in a pregnant woman with acute mitral prosthetic valve thrombosis. Clin. Cardiol. 2010; 33(6): E101-3.
  4. Chan W.S., Anand S., Ginsberg J.S. Anticoagulation of pregnant women with mechanical heart valves: a systematic review of the literature. Arch. Intern. Med. 2000; 160(2): 191-6.
  5. Jeejeebhoy F.M. Prosthetic heart valves and management during pregnancy. Can. Fam. Physician. 2009; 55(2): 155-7.
  6. Pieper P.G., BalciA., Van DijkA.P. Pregnancy in women with prosthetic heart valves. Neth. Heart J. 2008; 16(12): 406-11.
  7. KuilenburgJ.T, Verheugt F.W., van DijkA.P.J. Prosthetic heart valve thrombosis, anticoagulation and pregnancy: a case report and review of literature. Neth. Heart J. 2007; 15(9): 306-9.
  8. Sillesen M., Hjortdal V, Vejlstrup N., Sorensen K. Pregnancy with prosthetic heart valves - 30 years’ nationwide experience in Denmark. Eur. J. Cardiothorac. Surg. 2011; 40(2): 448-54.
  9. Адилова JI.P, Адамян Л.В., Шифман E.M., Тюлькина E.E, Ляшко E.C., Конышева О.В., Лапочкина О.Б. Современные взгляды на течение беременности у женщин с протезированными клапанами сердца. Проблемы репродукции. 2014; 2: 84-9.
  10. Ozkan M., Qakal B., Karakoyun S., Gursoy O.M., Qevik C., Kalgik M. et al. Thrombolytic therapy for the treatment of prosthetic heart valve thrombosis in pregnancy with low-dose, slow infusion of tissue-type plasminogen activator. Circulation. 2013; 128(5): 532-40.
  11. Sahnoun-Trabelsi I., Jimenez M., Choussat A., Roudaut R. Prosthetic valve thrombosis in pregnancy. A single-center study of 12 cases. Arch. Mai. Coeur Vaiss. 2004; 97(4): 305-10.
  12. Vitale N., De Feo M., De Santo L.S., PolliceA., Tedesco N., Cotrufo M. Dose- dependent fetal complications of warfarin in pregnant women with mechanical heart valves. J. Am. Coll. Cardiol. 1999; 33(6): 1637-41.
  13. Shetty R., Pibarot P, AudetA., Janvier R., Dagenais E, Perron J. et al. Lipid- mediated inflammation and degeneration of bioprosthetic heart valves. Eur. J. Clin. Invest. 2009; 39(6): 471-80.
  14. Graham I., Atar D., Borch-Johnsen K, Boysen G., Burell G., Cijkova R. et al. European guidelines on cardiovascular disease prevention in clinical practice: full text. Fourth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Eur. J. Cardiovasc. Prev. Rehabil. 2007; 14(Suppl,2): SI-113.

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