Re-Replacement of the Mechanical Valve Following Delivery in a Patient Who Suffered Acute Pulmonary Edema During Late Pregnancy After the Replacement of Left Atrioventricular Valve

DOI
  • Ugaki Shinya
    Department of Pediatric and Congenital Cardiovascular Surgery, Jichi Medical University Jichi Children’s Center Tochigi Department of Cardiovascular Surgery, Saitama Children’s Medical Center
  • Kubota Kana
    Department of Cardiology, Jichi Medical University Hospital
  • Kabutoya Tomoyuki
    Department of Cardiology, Jichi Medical University Hospital
  • Imai Yasushi
    Department of Cardiology, Jichi Medical University Hospital
  • Kawada Masaaki
    Department of Pediatric and Congenital Cardiovascular Surgery, Jichi Medical University Jichi Children’s Center Tochigi Department of Cardiology, Jichi Medical University Saitama Medical Center Department of Cardiovascular Surgery, Saitama Red Cross Hospital

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Other Title
  • 妊娠後期に急性肺水腫を来した小児期AVSDに対する左側房室弁置換術後の女性に出産後再弁置換術を施行した経験

Description

Patients after replacement of left atrioventricular valve with mechanical valves who wish childbearing may encounter the issues related to anti-coagulation therapy and/or dysfunction of mechanical valves because of intrinsic patient prosthesis mismatch during pregnancy. We present a 34-year-old woman after the replacement of the left atrioventricular valve (SJM23mm) who suffered acute lung edema during late pregnancy, requiring an urgent cesarean section. Although she gave birth to a healthy baby and recovered from pulmonary edema, her NYHA deteriorated to grade III after delivery. She successfully underwent re-replacement of the mechanical valve (SJM25mm Regent).

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