孕期复杂成人先天性心脏病病例：多学科诊疗方法
A Complex Adult Congenital Heart Disease Case in Pregnancy: A Multidisciplinary Approach.
作者信息
Rosenthal Elise, Guerrero Kerly, Gupta Manoj, Kuba Kfier, Wolfe Diana S
机构信息
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, UT Southwestern Medical Center, Dallas, Texas, USA.
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, USA.
出版信息
JACC Case Rep. 2023 Dec 16;29(2):102170. doi: 10.1016/j.jaccas.2023.102170. eCollection 2024 Jan 17.
Multidisciplinary teams decrease the likelihood of adverse pregnancy outcomes in high-risk pregnant cardiac patients. We present the case of a patient with complex congenital heart disease and a mechanical mitral valve, whose treatment included warfarin until delivery despite the discovery of placental hematomas. A multidisciplinary approach mitigated both maternal and fetal adverse pregnancy outcomes.
多学科团队可降低高危妊娠心脏病患者出现不良妊娠结局的可能性。我们报告了一例患有复杂先天性心脏病和机械二尖瓣的患者，尽管发现胎盘血肿，但在分娩前其治疗仍包括使用华法林。多学科方法减轻了母婴不良妊娠结局。
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