Goullard L, Marchand X, Decoester H, Vigne J M, Kacet S, Lekieffre J
Ann Cardiol Angeiol (Paris). 1987 Mar;36(3):145-8.
A case of left intraventricular thrombus, developed from a myxoid mitral valve and revealed by embolic cerebral vascular accidents at the end of a pregnancy, is reported. The links between a mitral valve prolapse and cerebral vascular accidents of embolic origin are studied during pre- and post-partum periods, where coagulation alterations are reviewed. It appears that, in pregnant women with a mitral valve prolapse, there is a maximum risk of developing an intra-cardiac thrombus in the last four weeks of pregnancy or immediately after delivery; this justifies, during that time, a thorough sonocardiographic monitoring.
本文报告了一例左心室内血栓病例，该血栓由黏液样二尖瓣发展而来，在妊娠末期因栓塞性脑血管意外而被发现。研究了二尖瓣脱垂与栓塞性脑血管意外在产前和产后期间的关联，并回顾了凝血改变情况。结果显示，患有二尖瓣脱垂的孕妇在妊娠最后四周或分娩后立即发生心内血栓的风险最高；这表明在此期间有必要进行全面的超声心动图监测。
