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Anticoagulation During Pregnancy with a Mechanical Pulmonary Valve: Patient and Medical Perspective

Anticoagulation During Pregnancy with a Mechanical Pulmonary Valve: Patient and Medical Perspective This article discusses the challenges of supporting a successful pregnancy in a woman with multiple prosthetic heart valves and a complicated cardiac history, from both the patient and provider perspective. The patient is a 29-year-old female with truncus arteriosus type I with initial neonatal VSD closure and right ventricular to pulmonary artery conduit. At the age of 13, she subsequently required truncal and pulmonary valve replacements with mechanical prostheses. Standardizing an approach to anticoagulation in pregnancy in women with prosthetic heart valves is not always possible. Her story demonstrates the importance of an innovative approach to unique cases; by extrapolating what is known about pregnancy and prosthetic heart valves, cardiologists can provide the best outcomes. Simultaneously, non-directive counseling is essential throughout this period to engage the patient in shared decision-making when balancing risks and benefits of each approach to anticoagulation. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cardiology and Therapy Springer Journals

Anticoagulation During Pregnancy with a Mechanical Pulmonary Valve: Patient and Medical Perspective

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References (8)

Publisher
Springer Journals
Copyright
Copyright © The Author(s) 2022
ISSN
2193-8261
eISSN
2193-6544
DOI
10.1007/s40119-022-00296-0
Publisher site
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Abstract

This article discusses the challenges of supporting a successful pregnancy in a woman with multiple prosthetic heart valves and a complicated cardiac history, from both the patient and provider perspective. The patient is a 29-year-old female with truncus arteriosus type I with initial neonatal VSD closure and right ventricular to pulmonary artery conduit. At the age of 13, she subsequently required truncal and pulmonary valve replacements with mechanical prostheses. Standardizing an approach to anticoagulation in pregnancy in women with prosthetic heart valves is not always possible. Her story demonstrates the importance of an innovative approach to unique cases; by extrapolating what is known about pregnancy and prosthetic heart valves, cardiologists can provide the best outcomes. Simultaneously, non-directive counseling is essential throughout this period to engage the patient in shared decision-making when balancing risks and benefits of each approach to anticoagulation.

Journal

Cardiology and Therapy – Springer Journals

Published: Mar 1, 2023

Keywords: Anticoagulation; Enoxaparin; Perspective; Pregnancy; Mechanical heart valve; Truncus arteriosus; Warfarin

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