Armida Iñigo-Riesgo C, Pérez Medina R
Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco.
Ginecol Obstet Mex. 1995 May;63:196-8.
A very unusual case, of a multiparous, 36 year-old, woman, she had previous mechanical replacement of her mitral, aortic and tricuspid valves, and was with coumarins. Her 6th pregnancy was uneventful, with no cardiovascular decompensation and delivered a healthy baby girl, weighing 1,700 g. without congenital malformations. We discuss here, her medical management during and after pregnancy as well as, the factors influencing an optimal result for both, mother and baby.
这是一个非常特殊的病例，患者为一位36岁经产妇，此前已接受二尖瓣、主动脉瓣和三尖瓣的机械瓣膜置换术，并一直服用香豆素类药物。她的第6次妊娠过程顺利，未出现心血管失代偿情况，分娩出一名健康女婴，体重1700克，无先天性畸形。在此我们讨论她孕期及产后的医疗管理，以及影响母婴获得最佳结局的因素。
