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European Journal of Echocardiography Advance Access published online on May 19, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep046
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Thrombosis of mechanical valve prosthesis in patient with recent Caesarean delivery

Fabio Pastore, Maria Angela Losi*, Gerardo Carpinella, Massimo Cavallaro, Angelica Fundaliotis, Elena Chiacchio, Sandro Betocchi and Massimo Chiariello

Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Federico II University School of Medicine, Via S. Pansini, 5, 80131 Naples, Italy

Received 22 December 2008; accepted after revision 3 January 2009.

* Corresponding author: Tel: +39 081 746 22 32; fax: +39 081 746 22 32. E-mail address: losi{at}unina.it


  Abstract

We present a case of a mechanical mitral valve thrombosis in a 37-year-old woman occurred 2 days after a Caesarean delivery. The patient stopped warfarin and initiated low-molecular-weight heparin 1 week before the programmed delivery. Subsequently the diagnosis of thrombosis, heparin infusion was started however unsuccessfully and eventually patient was referred for cardiac surgery.

Keywords: Mechanical valve prosthesis; Pregnancy


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