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Mitral valve replacement during pregnancy: Case report

Year 2004, Volume: 35 Issue: 3, 125 - 128, 01.04.2004

Asuman Süzer Türkan Çoruh Nihan Yapıcı Sonay Civelek Sabri Dağsalı Zuhal Aykaç

Abstract

Thrombosis during pregnancy, due to the change of oral anticoagulant therapy to low molecular weight heparin, is the most common reason for prosthetic heart valve replacement. The aim of the open-heart surgery during pregnancy is to decrease fetal and maternal mortality. Optimal conditions help to minimize fetal mortality during cardiopulmonary bypass. In our case, previous prosthetic mitral valve is replaced because of thrombosis in a 27 week pregnant woman. However, fetus died in the postoperative 24 hour.

Keywords

Mitral Valve Heart Valves Cardiovascular Surgical Procedures Thrombosis

References

  • 1. Takano Y, Matsuyama H, Fujita A, Kobayashi A, Kawamura M. A case of urgent aortic valve replacement for infective endocarditis in pregnancy
  • Masui 2003; 52(10): 1086-8
  • 2. Gopal K, Hudson 1M, Ludrhir J, Braffman MN, Ewing S, Bavaria JE, Wong KL, Bridges CR. Homograft aortic root replacement during pregnancy. Ann Thorac Surg 2002; 74(1): 243-5
  • 3. Aranyosi J, Peterffy A, Zatik J, Kerenyi DT, Lampe L, BorsosA. Open heart surgery with extracorporeal circulation during pregnancy. Orv Hetil 2001; 142(26): 1397-402. 4. Mustapha R, Philip I, Bohm G, Depoix JP, Enguerand D, Debauchez M, Hvass U, Pansard Y,Desmonts JM, Langlois J. Thromboses of heart valve prostheses: predisposing and prognostic factors based on a study of 41 patients. Ann Cardiol Angeiol (Paris) 1994; 43(7):403-7
  • 5. Salazar E, Espinola N, Molina FJ, Reyes A, Barragan R. Heart surgery with cardiopulmonary bypass in pregnant women. Arch Cardiol Mex 2001;
  • 71(1): 20-7
  • 6. Parry AJ, Westaby S: Cardiopulmonary bypass during pregnancy. Ann Thorac Surg 1996; 61 (6): 1865-9
  • 7. Buffolo E, Palma JH, Gomes WJ, Vega H, Born D, Moron AF, Carvalho AC. Successful use of deep hypothermic circulatory arrest in pregnancy. Ann Thorac Surg 1994; 58(5): 1532-4
  • 8. Pomini F, Mercogliano D, Cavalletti C, Caruso A, Pomini P. Cardiopulmonary bypass in pregnancy. Ann Thorac Surg 1996; 61(1): 259-68
  • 9. Sadler L, McCowan L, White H, Stewart A, Bracken M, North R. Pregnancy outcomes and cardiac complications in women with mechanical, bioprosthetic and homograft valves. BJOG 2000; 107(2): 245-53
  • 10. Süzer Ö. Hamilelikte ilaç kullanımı. Farmakolojinin Temelleri 2. Baskı Nobel Tıp Kitabevleri, İstanbul, 2002; 423-434

Gebelikte mitral kapak replasmanı: Olgu sunumu

Year 2004, Volume: 35 Issue: 3, 125 - 128, 01.04.2004

Asuman Süzer Türkan Çoruh Nihan Yapıcı Sonay Civelek Sabri Dağsalı Zuhal Aykaç

Abstract

Gebelikde kalp kapakçığı değişimi gerektiren trombüs oluşumunun en önemli nedeni, oral antikoagulan tedavinin düşük moleküler ağırlıklı heparin tedavisi ile yer değiştirilmesidir. Gebelik sırasında açık kalp cerrahisinin amacı, anne ve fetus mortalitesinin azaltılmasıdır. Optimum koşulların sağlanması ile bebek ölümleri en aza indirilmiştir. Bizim olgumuzda, 27 haftalık gebeye prostetik mitral kapakda oluşan trombüs nedeniyle, mitral kapak replasmanı yapılmıştır. Ancak, olguda fetus postoperatif 24. saatte kaybedilmiştir.

Keywords

Mitral kapak Kalp kapakları Kalp damar cerrahi işlemleri Tromboz

References

  • 1. Takano Y, Matsuyama H, Fujita A, Kobayashi A, Kawamura M. A case of urgent aortic valve replacement for infective endocarditis in pregnancy
  • Masui 2003; 52(10): 1086-8
  • 2. Gopal K, Hudson 1M, Ludrhir J, Braffman MN, Ewing S, Bavaria JE, Wong KL, Bridges CR. Homograft aortic root replacement during pregnancy. Ann Thorac Surg 2002; 74(1): 243-5
  • 3. Aranyosi J, Peterffy A, Zatik J, Kerenyi DT, Lampe L, BorsosA. Open heart surgery with extracorporeal circulation during pregnancy. Orv Hetil 2001; 142(26): 1397-402. 4. Mustapha R, Philip I, Bohm G, Depoix JP, Enguerand D, Debauchez M, Hvass U, Pansard Y,Desmonts JM, Langlois J. Thromboses of heart valve prostheses: predisposing and prognostic factors based on a study of 41 patients. Ann Cardiol Angeiol (Paris) 1994; 43(7):403-7
  • 5. Salazar E, Espinola N, Molina FJ, Reyes A, Barragan R. Heart surgery with cardiopulmonary bypass in pregnant women. Arch Cardiol Mex 2001;
  • 71(1): 20-7
  • 6. Parry AJ, Westaby S: Cardiopulmonary bypass during pregnancy. Ann Thorac Surg 1996; 61 (6): 1865-9
  • 7. Buffolo E, Palma JH, Gomes WJ, Vega H, Born D, Moron AF, Carvalho AC. Successful use of deep hypothermic circulatory arrest in pregnancy. Ann Thorac Surg 1994; 58(5): 1532-4
  • 8. Pomini F, Mercogliano D, Cavalletti C, Caruso A, Pomini P. Cardiopulmonary bypass in pregnancy. Ann Thorac Surg 1996; 61(1): 259-68
  • 9. Sadler L, McCowan L, White H, Stewart A, Bracken M, North R. Pregnancy outcomes and cardiac complications in women with mechanical, bioprosthetic and homograft valves. BJOG 2000; 107(2): 245-53
  • 10. Süzer Ö. Hamilelikte ilaç kullanımı. Farmakolojinin Temelleri 2. Baskı Nobel Tıp Kitabevleri, İstanbul, 2002; 423-434
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Asuman Süzer This is me

Türkan Çoruh This is me

Nihan Yapıcı This is me

Sonay Civelek This is me

Sabri Dağsalı This is me

Zuhal Aykaç This is me

Publication Date April 1, 2004
Published in Issue Year 2004 Volume: 35 Issue: 3

Cite

APA Süzer, A., Çoruh, T., Yapıcı, N., Civelek, S., et al. (2004). Gebelikte mitral kapak replasmanı: Olgu sunumu. Zeynep Kamil Tıp Bülteni, 35(3), 125-128. https://doi.org/10.16948/zktb.37800
AMA Süzer A, Çoruh T, Yapıcı N, Civelek S, Dağsalı S, Aykaç Z. Gebelikte mitral kapak replasmanı: Olgu sunumu. Zeynep Kamil Tıp Bülteni. April 2004;35(3):125-128. doi:10.16948/zktb.37800
Chicago Süzer, Asuman, Türkan Çoruh, Nihan Yapıcı, Sonay Civelek, Sabri Dağsalı, and Zuhal Aykaç. “Gebelikte Mitral Kapak replasmanı: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 35, no. 3 (April 2004): 125-28. https://doi.org/10.16948/zktb.37800.
EndNote Süzer A, Çoruh T, Yapıcı N, Civelek S, Dağsalı S, Aykaç Z (April 1, 2004) Gebelikte mitral kapak replasmanı: Olgu sunumu. Zeynep Kamil Tıp Bülteni 35 3 125–128.
IEEE A. Süzer, T. Çoruh, N. Yapıcı, S. Civelek, S. Dağsalı, and Z. Aykaç, “Gebelikte mitral kapak replasmanı: Olgu sunumu”, Zeynep Kamil Tıp Bülteni, vol. 35, no. 3, pp. 125–128, 2004, doi: 10.16948/zktb.37800.
ISNAD Süzer, Asuman et al. “Gebelikte Mitral Kapak replasmanı: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni 35/3 (April 2004), 125-128. https://doi.org/10.16948/zktb.37800.
JAMA Süzer A, Çoruh T, Yapıcı N, Civelek S, Dağsalı S, Aykaç Z. Gebelikte mitral kapak replasmanı: Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2004;35:125–128.
MLA Süzer, Asuman et al. “Gebelikte Mitral Kapak replasmanı: Olgu Sunumu”. Zeynep Kamil Tıp Bülteni, vol. 35, no. 3, 2004, pp. 125-8, doi:10.16948/zktb.37800.
Vancouver Süzer A, Çoruh T, Yapıcı N, Civelek S, Dağsalı S, Aykaç Z. Gebelikte mitral kapak replasmanı: Olgu sunumu. Zeynep Kamil Tıp Bülteni. 2004;35(3):125-8.