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Journal of Obstrectic Anaesthesia and Critical Care
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CASE REPORT
Year : 2017  |  Volume : 7  |  Issue : 1  |  Page : 60-62

Stuck mitral prosthesis in pregnancy – A challenge


1 Department of Anaesthesia and Critical Care, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India
2 Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India

Correspondence Address:
Pankaj K Gupta
House No 1069, Sector 28, Faridabad, Haryana - 121 008, India
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacc.JOACC_43_16

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Pregnancy with prosthetic valve is a challenging situation since this is a hypercoagulable state and maintenance of anticoagulation for prosthetic valves becomes difficult due to the teratogenic effects and altered pharmacokinetics of anticoagulant drugs. This may result in prosthetic valve thrombosis which is an emergency and requires multidisciplinary approach for management. We present a case of a patient who presented with thrombosed mitral prosthesis at 34 wks of gestation; after a multispeciality consultation, she eventually underwent caesarean section followed by mitral valve replacement.


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