Anesthetic Management of Patient with Asymptomatic Stuck Mitral Valve (Prosthetic Heart Valve Thrombosis) Case Posted for LSCS – Case Report
Main Article Content
Article Details
Copyright (c) 2025 Yenikepalli L, et al.

This work is licensed under a Creative Commons Attribution 4.0 International License.
1. Kannan M, Vijayanand G. Mitral stenosis and pregnancy: current concepts in anaesthetic practice. Indian J Anaesth. 2010;54(5):439–44. Available from: https://doi.org/10.4103/0019-5049.71043
2. Bonow RO, Carabello BA, Kanu C, de Leon AC Jr, Faxon DP, Freed MD, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. Circulation. 2006;114(5):e84–231. Available from: https://doi.org/10.1161/circulationaha.106.176857
3. Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP, Gentile F, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: executive summary. Circulation. 2021;143(5):e35–71. Available from: https://doi.org/10.1161/cir.0000000000000932
4. Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J, et al. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2022;43(7):561–632. Available from: https://doi.org/10.1093/eurheartj/ehab395
5. Dangas GD, Weitz JI, Giustino G, Makkar R, Mehran R. Prosthetic heart valve thrombosis. J Am Coll Cardiol. 2016;68(24):2670–89. Available from: https://doi.org/10.1016/j.jacc.2016.09.958
6. Libby P, Zipes DP, Bonow RO, Mann DL, Tomaselli GF. Pregnancy and heart disease. In: Braunwald E, editor. Braunwald's heart disease: a textbook of cardiovascular medicine. 11th ed. Philadelphia: Elsevier; 2018;1788.
7. van Hagen IM, Roos-Hesselink JW, Ruys TP, Merz WM, Goland S, Gabriel H, et al. Pregnancy in women with a mechanical heart valve: data of the ESC Registry of Pregnancy and Cardiac Disease (ROPAC). Circulation. 2015;132(2):132–42. Available from: https://doi.org/10.1161/circulationaha.115.015242
8. Özkan M, Çakal B, Karakoyun S, Gürsoy OM, Çevik C, Kalçık M, et al. Thrombolytic therapy for prosthetic heart valve thrombosis in pregnancy with low-dose, slow infusion of tPA. Circulation. 2013;128(5):532–40. Available from: Available from: https://doi.org/10.1161/circulationaha.113.001145
9. González-Santos JM, Vallejo JL, Rico MJ, González-Santos ML, Horno R, García-Dorado D. Thrombosis of a mechanical valve prosthesis late in pregnancy: case report and literature review. Thorac Cardiovasc Surg. 1986;34(5):335–7. Available from: https://doi.org/10.1055/s-2007-1022166
10. Tempe DK, Virmani S, Tempe A, Sharma JB, Nigam M. Anaesthetic management of emergency caesarean section and reoperative mitral valve replacement at 32 weeks: case report. Ann Card Anaesth. 2002;5(1):63–7. Available from: https://pubmed.ncbi.nlm.nih.gov/17890804/
11. Meng ML, Arendt KW, Banayan JM, Bradley EA, Vaught AJ, Hameed AB, Anesthetic care of the pregnant patient with cardiovascular disease: AHA scientific statement. Circulation. 2023;147(11):e657–73. Available from: https://doi.org/10.1161/cir.0000000000001121
12. Kuo CD, Chen GY, Yang MJ, Tsai YS. Effect of position on autonomic nervous activity in late pregnancy. Anaesthesia. 1997;52(12):1161–5. Available from: https://doi.org/10.1111/j.1365-2044.1997.254-az0387.x
13. Girnius A, Meng ML. Cardio-obstetrics: a review for the cardiac anesthesiologist. J Cardiothorac Vasc Anesth. 2021;35(12):3483–8. Available from: https://doi.org/10.1053/j.jvca.2021.06.012
14. Purvey M, Allen G. Managing acute pulmonary oedema. Aust Prescr. 2017;40(2):59–63. Available from: https://doi.org/10.18773/austprescr.2017.012