A report of a case: Anesthetic management of a parturient with severe thrombotic stenosis of a mechanical aortic valve - An exercise in coordination of subspecialties

Asuquo N. Inyang, Mark Jackson, Ashok Kumar, Andre Nychka, Galina Leyvi, Ilya Zhuravlev, Konstadinos Plestis, John Wasnick

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The pregnant woman with valvular heart disease presents significant challenges to the obstetric, anesthesiology, and cardiology teams. Although successful outcomes for both mother and fetus are possible with coordinated medical care, the patient with a prosthetic valve who requires systemic anticoagulation provides a dilemma of insufficient anticoagulation leading to valve thrombosis versus the risks of maternal perinatal hemorrhage or fetal effects from oral or parenteral anticoagulants. This case report describes the peripartum management of a patient at 27 weeks' gestation with thrombus on a prosthetic aortic valve.

Original languageEnglish (US)
Pages (from-to)261-263
Number of pages3
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume9
Issue number3
DOIs
StatePublished - Sep 2005

Fingerprint

Case Management
Aortic Valve
Anesthetics
Pathologic Constriction
Thrombosis
Mothers
Parturition
Exercise
Peripartum Period
Heart Valve Diseases
Anesthesiology
Cardiology
Anticoagulants
Obstetrics
Pregnant Women
Patient Care
Fetus
Hemorrhage
Pregnancy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

A report of a case : Anesthetic management of a parturient with severe thrombotic stenosis of a mechanical aortic valve - An exercise in coordination of subspecialties. / Inyang, Asuquo N.; Jackson, Mark; Kumar, Ashok; Nychka, Andre; Leyvi, Galina; Zhuravlev, Ilya; Plestis, Konstadinos; Wasnick, John.

In: Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 9, No. 3, 09.2005, p. 261-263.

Research output: Contribution to journalArticle

Inyang, Asuquo N. ; Jackson, Mark ; Kumar, Ashok ; Nychka, Andre ; Leyvi, Galina ; Zhuravlev, Ilya ; Plestis, Konstadinos ; Wasnick, John. / A report of a case : Anesthetic management of a parturient with severe thrombotic stenosis of a mechanical aortic valve - An exercise in coordination of subspecialties. In: Seminars in Cardiothoracic and Vascular Anesthesia. 2005 ; Vol. 9, No. 3. pp. 261-263.
@article{77302637d9024d98b35dee4957f02d81,
title = "A report of a case: Anesthetic management of a parturient with severe thrombotic stenosis of a mechanical aortic valve - An exercise in coordination of subspecialties",
abstract = "The pregnant woman with valvular heart disease presents significant challenges to the obstetric, anesthesiology, and cardiology teams. Although successful outcomes for both mother and fetus are possible with coordinated medical care, the patient with a prosthetic valve who requires systemic anticoagulation provides a dilemma of insufficient anticoagulation leading to valve thrombosis versus the risks of maternal perinatal hemorrhage or fetal effects from oral or parenteral anticoagulants. This case report describes the peripartum management of a patient at 27 weeks' gestation with thrombus on a prosthetic aortic valve.",
author = "Inyang, {Asuquo N.} and Mark Jackson and Ashok Kumar and Andre Nychka and Galina Leyvi and Ilya Zhuravlev and Konstadinos Plestis and John Wasnick",
year = "2005",
month = "9",
doi = "10.1177/108925320500900308",
language = "English (US)",
volume = "9",
pages = "261--263",
journal = "Seminars in Cardiothoracic and Vascular Anesthesia",
issn = "1089-2532",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - A report of a case

T2 - Anesthetic management of a parturient with severe thrombotic stenosis of a mechanical aortic valve - An exercise in coordination of subspecialties

AU - Inyang, Asuquo N.

AU - Jackson, Mark

AU - Kumar, Ashok

AU - Nychka, Andre

AU - Leyvi, Galina

AU - Zhuravlev, Ilya

AU - Plestis, Konstadinos

AU - Wasnick, John

PY - 2005/9

Y1 - 2005/9

N2 - The pregnant woman with valvular heart disease presents significant challenges to the obstetric, anesthesiology, and cardiology teams. Although successful outcomes for both mother and fetus are possible with coordinated medical care, the patient with a prosthetic valve who requires systemic anticoagulation provides a dilemma of insufficient anticoagulation leading to valve thrombosis versus the risks of maternal perinatal hemorrhage or fetal effects from oral or parenteral anticoagulants. This case report describes the peripartum management of a patient at 27 weeks' gestation with thrombus on a prosthetic aortic valve.

AB - The pregnant woman with valvular heart disease presents significant challenges to the obstetric, anesthesiology, and cardiology teams. Although successful outcomes for both mother and fetus are possible with coordinated medical care, the patient with a prosthetic valve who requires systemic anticoagulation provides a dilemma of insufficient anticoagulation leading to valve thrombosis versus the risks of maternal perinatal hemorrhage or fetal effects from oral or parenteral anticoagulants. This case report describes the peripartum management of a patient at 27 weeks' gestation with thrombus on a prosthetic aortic valve.

UR - http://www.scopus.com/inward/record.url?scp=24644463173&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=24644463173&partnerID=8YFLogxK

U2 - 10.1177/108925320500900308

DO - 10.1177/108925320500900308

M3 - Article

C2 - 16151558

AN - SCOPUS:24644463173

VL - 9

SP - 261

EP - 263

JO - Seminars in Cardiothoracic and Vascular Anesthesia

JF - Seminars in Cardiothoracic and Vascular Anesthesia

SN - 1089-2532

IS - 3

ER -