Anticoagulation and proper INR (International Normalized Ratio) monitoring is essential for patients having mechanical heart valves; it is vital in these patients in order to prevent lethal complications such as valve thrombosis and systemic embolism. In pregnancy, it becomes even more important as pregnancy itself is a hypercoagulable state. This report describes a female patient having undergone mitral valve replacement with a Starr Edward metallic prosthesis. She came back to the operating surgeon after 10 years of valve replacement with a history of three uneventful healthy deliveries and no follow-up and INR monitoring during this period.
Journal of College of Physicians and Surgeons Pakistan
(2007). Three pregnancies with mechanical heart valve and no follow-up in 10 years. Journal of College of Physicians and Surgeons Pakistan, 17(5), 292-293.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_surg_gen/49