Prosthetic heart valve selection in women of childbearing age with acquired heart disease: a case reportReportar como inadecuado




Prosthetic heart valve selection in women of childbearing age with acquired heart disease: a case report - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Medical Case Reports

, 10:51

First Online: 08 March 2016Received: 26 August 2015Accepted: 30 January 2016DOI: 10.1186-s13256-016-0821-y

Cite this article as: Barbarash, L., Rutkovskaya, N., Barbarash, O. et al. J Med Case Reports 2016 10: 51. doi:10.1186-s13256-016-0821-y

Abstract

BackgroundThe problem of prosthetic heart valve selection in fertile women with acquired heart defects remains crucial in modern cardiology. Mechanical heart valves require lifelong indirect anticoagulant therapy, which has significant fetal toxicity and is unacceptable for women planning pregnancy. Bioprosthetic heart valves are the best choice for fertile women; however, their durability is limited, and reoperations are required.

Case presentationWe describe the clinical case of a 21-year-old Russian woman with infectious endocarditis who underwent heart valve replacement with an epoxy-treated mitral valve prosthesis.

ConclusionsEpoxy-treated bioprosthetic heart valves can be used without long-term anticoagulant therapy because of their optimal hemodynamic functional parameters. Moreover, their high thromboresistance and resistance to infection improve patients’ quality of life in their late postoperative period. We recommend these valves both in older persons and in young patients including women who are planning pregnancy.

KeywordsBioprosthesis Childbirth Fertile women Pregnancy AbbreviationsAHAAmerican Heart Association

AHDAcquired heart disease

ECHOEchocardiography

ESCEuropean Society of Cardiology

NYHANew York Heart Association

UFHUnfractionated heparin therapy

Download fulltext PDF



Autor: Leonid Barbarash - Natalya Rutkovskaya - Olga Barbarash - Yuri Odarenko - Alexander Stasev - Evgenya Uchasova

Fuente: https://link.springer.com/







Documentos relacionados