The case demonstrates successful management of nonobstructive mechanical valve thrombosis in a pregnant woman with severe symptomatic aortic stenosis through the use of unfractionated heparin.
Case Report (n=1)
Does unfractionated heparin successfully treat nonobstructive mechanical valve thrombosis in a pregnant woman?
Unfractionated heparin can be successfully used to treat nonobstructive mechanical valve thrombosis in pregnant women, supporting the 2018 ESC Guidelines.
Aortic stenosis (AS) carries a high pregnancy risk. In women of childbearing age the main cause of AS is congenital bicuspid aortic valve. Women with moderate to severe obstruction should be advised to delay conception until relief of AS (balloon valvulotomy or surgery). Pregnant women with mechanical prosthetic heart valves have the increased risk for thromboembolic events. We report a case of women with severe bicuspid aortic stenosis who delayed pregnancy until aortic valve replacement. In early pregnancy she had nonobstructive prosthetic valve thrombosis. The patient was successfully treated with unfractioned heparin (UFH). In the case we presented a right decision that was made in planning the pregnancy in patient with severe symptomatic AS. Also, our case is a good example of the successful use of UFH in a pregnant women with nonobstructive mechanical valve thrombosis according to 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy.
Biljana Obrenović-Kirćanski (Tue,) conducted a case report in Bicuspid aortic stenosis with mechanical valve thrombosis during pregnancy (n=1). Unfractionated heparin (UFH) was evaluated on Pressure gradient across the prosthetic valve. The case demonstrates successful management of nonobstructive mechanical valve thrombosis in a pregnant woman with severe symptomatic aortic stenosis through the use of unfractionated heparin.