EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT
Objective: Cardiovascular diseases emerge as one of the leading causes of maternal morbidity and mortality in developed countries. These risks are even higher in women with prosthetic cardiac valves. The core of the care for these women and the fetus during the hypercoagulable state of the pregnancy...
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| Format: | Article |
| Language: | English |
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Avicenna Tajik State Medical University
2023-09-01
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| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2023-25-3-441-447 |
| _version_ | 1797679851590647808 |
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| author | I. KHOLOD E. BUHMAN S. GRISARU-GRANOVSKY T. AVITAN S. TAGER A. NIR A. TVITO Y. GOZAL A. IOSCOVICH |
| author_facet | I. KHOLOD E. BUHMAN S. GRISARU-GRANOVSKY T. AVITAN S. TAGER A. NIR A. TVITO Y. GOZAL A. IOSCOVICH |
| author_sort | I. KHOLOD |
| collection | DOAJ |
| description | Objective: Cardiovascular diseases emerge as one of the leading causes of maternal morbidity and mortality in developed countries. These risks are even higher in women with prosthetic cardiac valves. The core of the care for these women and the fetus during the hypercoagulable state of the pregnancy and postpartum period is the achievement of coagulation control using adjusted anticoagulation therapy protocols. A multidisciplinary team that includes obstetricians, cardiologists, hematologists, and anesthesiologists in a referral center is essential for an optimal maternal-fetal outcome. In particular, these measures are directed at preventing one of the most serious complications associated with mechanical valve dysfunction. The dysfunctional valve in the mitral position increases maternal and fetal mortality by 30%, especially in the presence of heart failure symptoms. Here we present a case of a 32-week pregnant woman diagnosed with dysfunction of the mechanical mitral valve (MV) and an emergency multidisciplinary approach to her treatment. |
| first_indexed | 2024-03-11T23:20:55Z |
| format | Article |
| id | doaj.art-cc4554c6feb44fd1bcbf5126968405cf |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-11T23:20:55Z |
| publishDate | 2023-09-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-cc4554c6feb44fd1bcbf5126968405cf2023-09-20T13:35:29ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272023-09-0125344144710.25005/2074-0581-2023-25-3-441-447EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORTI. KHOLOD0E. BUHMAN1S. GRISARU-GRANOVSKY2T. AVITAN3S. TAGER4A. NIR5A. TVITO6Y. GOZAL7A. IOSCOVICH8Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Obstetrics and Gynecology, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Obstetrics and Gynecology, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Cardiothoracic Surgery, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Cardiology, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Hematology, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelDepartment of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, IsraelObjective: Cardiovascular diseases emerge as one of the leading causes of maternal morbidity and mortality in developed countries. These risks are even higher in women with prosthetic cardiac valves. The core of the care for these women and the fetus during the hypercoagulable state of the pregnancy and postpartum period is the achievement of coagulation control using adjusted anticoagulation therapy protocols. A multidisciplinary team that includes obstetricians, cardiologists, hematologists, and anesthesiologists in a referral center is essential for an optimal maternal-fetal outcome. In particular, these measures are directed at preventing one of the most serious complications associated with mechanical valve dysfunction. The dysfunctional valve in the mitral position increases maternal and fetal mortality by 30%, especially in the presence of heart failure symptoms. Here we present a case of a 32-week pregnant woman diagnosed with dysfunction of the mechanical mitral valve (MV) and an emergency multidisciplinary approach to her treatment.https://doi.org/10.25005/2074-0581-2023-25-3-441-447pregnancycesarean deliveryanesthetic managementmechanical valvevalve dysfunctionvalve replacement. |
| spellingShingle | I. KHOLOD E. BUHMAN S. GRISARU-GRANOVSKY T. AVITAN S. TAGER A. NIR A. TVITO Y. GOZAL A. IOSCOVICH EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT Паёми Сино pregnancy cesarean delivery anesthetic management mechanical valve valve dysfunction valve replacement. |
| title | EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT |
| title_full | EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT |
| title_fullStr | EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT |
| title_full_unstemmed | EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT |
| title_short | EMERGENCY CESAREAN SECTION WITH REDO MITRAL VALVE REPLACEMENT FOR ACUTE PROSTHETIC VALVE DYSFUNCTION: A CASE REPORT |
| title_sort | emergency cesarean section with redo mitral valve replacement for acute prosthetic valve dysfunction a case report |
| topic | pregnancy cesarean delivery anesthetic management mechanical valve valve dysfunction valve replacement. |
| url | https://doi.org/10.25005/2074-0581-2023-25-3-441-447 |
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