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Journal of Medical Case Reports

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Open Access 01-12-2016 | Case report

Prosthetic heart valve selection in women of childbearing age with acquired heart disease: a case report

Authors: Leonid Barbarash, Natalya Rutkovskaya, Olga Barbarash, Yuri Odarenko, Alexander Stasev, Evgenya Uchasova

Published in: Journal of Medical Case Reports | Issue 1/2016

Abstract

Background

The problem of prosthetic heart valve selection in fertile women with acquired heart defects remains crucial in modern cardiology. Mechanical heart valves require lifelong indirect anticoagulant therapy, which has significant fetal toxicity and is unacceptable for women planning pregnancy. Bioprosthetic heart valves are the best choice for fertile women; however, their durability is limited, and reoperations are required.

Case presentation

We describe the clinical case of a 21-year-old Russian woman with infectious endocarditis who underwent heart valve replacement with an epoxy-treated mitral valve prosthesis.

Conclusions

Epoxy-treated bioprosthetic heart valves can be used without long-term anticoagulant therapy because of their optimal hemodynamic functional parameters. Moreover, their high thromboresistance and resistance to infection improve patients’ quality of life in their late postoperative period. We recommend these valves both in older persons and in young patients including women who are planning pregnancy.

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Title: Prosthetic heart valve selection in women of childbearing age with acquired heart disease: a case report
Authors: Leonid Barbarash
Natalya Rutkovskaya
Olga Barbarash
Yuri Odarenko
Alexander Stasev
Evgenya Uchasova
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2016
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-016-0821-y

ACC 2024 Congress

Springer Medicine

Prosthetic heart valve selection in women of childbearing age with acquired heart disease: a case report

Abstract

Background

Case presentation

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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