Nicholas Alexandra, Countouris Malamo, Jeyabalan Arun, Lim Grace
Division of Obstetric and Women's Anesthesiology, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, UPMC Magee Women's Hospital, Pittsburgh, Pennsylvania, USA.
Division of Cardiothoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
JACC Case Rep. 2023 Mar 1;9:101741. doi: 10.1016/j.jaccas.2023.101741.
More women with mechanical mitral valves (MMVs) are pursuing pregnancy. Guidelines exist for pregnancy anticoagulation, but they do not address individualized anticoagulation during delivery-a period of risk for bleeding, thrombosis, and anesthetic complications. This case series of parturients with MMVs highlights the challenges in, and the evidence and strategies for, treating these patients. ().
越来越多患有机械二尖瓣瓣膜（MMV）的女性选择怀孕。目前存在关于孕期抗凝的指南，但这些指南并未涉及分娩期间的个体化抗凝问题，而分娩期存在出血、血栓形成及麻醉并发症风险。本系列MMV产妇病例突出了治疗这些患者的挑战以及相关证据和策略。（）
