BACKGROUND: Carotid artery atherosclerosis and essential hypercholesterolemia can add a predisposing risk factor for coagulation in pregnancy. Careful management of anticoagulation during labor, delivery, and puerperium is called for in such a case. CASE: A 41-year-old woman, gravida 2, para 1, with a previous endarterectomy at the right common carotid artery because of atherosclerotic plaques, underwent anticoagulation studies and prophylactic antithrombotic therapy. Low-molecular-weight heparin was administrated during pregnancy and puerperium. She successfully delivered by cesarean at 36 weeks of gestation. CONCLUSION: Low-molecular-weight heparin treatment is an effective and safe therapy in pregnancy. The healthy course of therapy, delivery, and puerperium reported here is a reference that may support women with a similar history.
Pregnancy and delivery after right common carotid artery endarterectomy / Severi, Filiberto M.; Ignacchiti, Erika; Setacci, Francesco; Palasciano, Giancarlo; Setacci, Carlo; Petraglia, Felice*. - In: OBSTETRICS AND GYNECOLOGY. - ISSN 0029-7844. - ELETTRONICO. - 104:(2004), pp. 1140-1142. [10.1097/01.AOG.0000125552.00171.9a]
Pregnancy and delivery after right common carotid artery endarterectomy
Petraglia, Felice
2004
Abstract
BACKGROUND: Carotid artery atherosclerosis and essential hypercholesterolemia can add a predisposing risk factor for coagulation in pregnancy. Careful management of anticoagulation during labor, delivery, and puerperium is called for in such a case. CASE: A 41-year-old woman, gravida 2, para 1, with a previous endarterectomy at the right common carotid artery because of atherosclerotic plaques, underwent anticoagulation studies and prophylactic antithrombotic therapy. Low-molecular-weight heparin was administrated during pregnancy and puerperium. She successfully delivered by cesarean at 36 weeks of gestation. CONCLUSION: Low-molecular-weight heparin treatment is an effective and safe therapy in pregnancy. The healthy course of therapy, delivery, and puerperium reported here is a reference that may support women with a similar history.I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.