[Triple mechanical heart valve prosthesis and pregnancy].

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.