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


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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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作者简介

Gennady 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 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 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 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 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 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 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 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 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 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

参考

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