Successful Thrombolysis of Aortic Prosthetic Valve Thrombosis during First Trimester of Pregnancy
Journal Title: Internet Journal of Medical Update - Year 2015, Vol 10, Issue 1
Abstract
Prosthetic heart valve thrombosis during pregnancy is life-threatening. Standard surgical treatment using cardiopulmonary bypass carries high maternal and fetal complications. Here we report a case of an antenatal female in first trimester with aortic prosthetic valve thrombosis (PVT), who was successfully thrombolysed with streptokinase with no complication to mother or fetus. The aim was to justify the usefulness of thrombolysis as a treatment option for prosthetic valve thrombosis in antenatal patients. A 35-year-old female patient presented in the first trimester of pregnancy with PVT at aortic position. After due consent, thrombolysis was undertaken with streptokinase. During the hospital course, she was followed clinically and with echocardiography. She symptomatically improved with thrombolysis. Transthoracic echocardiography showed complete resolution of thrombus. Peak trans-aortic velocity improved from 5.5 m/s to 3.7 m/s. She delivered a normal baby uneventfully in follow up at full term of pregnancy with no complications. Fibrinolytic therapy for mechanical valve thrombosis is a reasonable alternative to surgery in first trimester of pregnancy.
Authors and Affiliations
Anand Shukla, Abhishek Raval, Ronak Saha
Keywords
Related Articles
- EP ID EP95205
- DOI 10.4314/ijmu.v10i1.6
- Views 103
- Downloads 0
Pattern of gunshot deaths in a Nigerian Tertiary Health Institution
The present study was aimed to determine the pattern of injuries, manner of death, and demographic parameters of gunshot deaths in a Nigerian teaching hospital. This was a prospective descriptive autopsy study of gunshot...
Neuroendocrine tumor of the hepatic flexure: a rare colonic tumor
Neuroendocrine tumors (NETs) are rare, particularly common in the rectum. NETs of the colon (not including the appendix and rectum) are most commonly found in the cecum, and hepatic flexure involvement is rather infreque...
ISOLATED DISLOCATION OF PISIFORM BONE – A RARE CASE
An isolated dislocation of pisiform bone in a sixteen years male child has been reported here with its clinical presentation, treatment and a brief review of literature. The aim of presenting this case is its rarity due...
Implications of Zinc on Fetal Neural Tube Defects
Zinc is essential for normal growth and differentiation in all mammalian species and it is reported that folic acid supplementation has reduced the incidence of neural tube defects (NTD). It is still considered one of th...
Adrenocortical carcinoma (rare tumor): a case report and literature review
A 40-year-old male patient presented with complaints of pain in abdomen, anorexia, low-grade fever and significant weight loss of one-month duration. USG and CT abdomen showed a large right adrenal space-occupying lesion...