Resumen

SOCA, GERARDO; AMERICO, CARLOS  y  CURA, LEANDRO. Disfunción valvular protésica en mujer embarazada con sustitución valvular mitro-aórtica. Rev.Urug.Cardiol. [online]. 2010, vol.25, n.1, pp.28-32. ISSN 1688-0420.

SUMMARY Case report: female, 42 years old, antecedents of rheumatic fever in childhood and mitro aortical valvular substitution by mechanical prosthesis ten years ago. In third trimester pregnancy, shows quickly progressive cardiac fail. Ultrasonography and fluoroscopy show aortic prosthesis valve dysfunction. After thrombolytic therapy,descompensation occured,due to an acute atrial fibrillation episode. Emergency caesarean is required and subsequent cardiac surgery showed length affectation by pannus in both, aortic and mitral prosthesis. Analysis of the treatment and patient`s evolution in this complex situation.

Palabras clave : PROSTHESIS FAILURE; HEART VALVE PROSTHESIS; FIBRINOLYTIC AGENTS; THORACIC SURGERY; CARDIAC SURGERY; PREGNANCY; PANNUS.

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