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- W4385486579 abstract "Prosthetic heart valves pose a significant risk to both maternal and fetal health during pregnancy. Bioprosthetic valves have lower risks of complications compared to mechanical valves but are still associated with increased risks of heart failure, increased rates of Cesarean section and higher rates of preterm birth compared to native heart valves. Mechanical heart valves coupled with the hypercoagulable state of pregnancy result in a significantly higher risk of valve thrombosis and embolic events. Anticoagulation is associated with both maternal and fetal hemorrhage and must be managed with a greater degree of frequency and precision than in the non-pregnant state. Vitamin K antagonists are associated with lower risk of embolic events but carry an additional dose-dependent risk of embryopathy. Heparin products do not cross the placenta but are associated with higher rates of maternal thrombotic events. Highly coordinated interdisciplinary care with cardio-obstetric teams is recommended from preconception counseling, throughout pregnancy and the postpartum period with particular importance during labor and delivery." @default.
- W4385486579 created "2023-08-03" @default.
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- W4385486579 date "2023-01-01" @default.
- W4385486579 modified "2023-10-17" @default.
- W4385486579 title "Prosthetic Valves" @default.
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- W4385486579 doi "https://doi.org/10.1007/978-3-031-34103-8_18" @default.
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