Three pregnancies with mechanical heart valve and no follow-up in 10 years

Raja Parvez Akhtar, Abdul Rehman Abid, Hasnain Zafar

Research output: Contribution to journalArticlepeer-review


Anticoagulation and proper INR (International Normalized Ratio) monitoring is essential for patients having mechanical heart valves; it is vital in these patients in order to prevent lethal complications such as valve thrombosis and systemic embolism. In pregnancy, it becomes even more important as pregnancy itself is a hypercoagulable state. This report describes a female patient having undergone mitral valve replacement with a Starr Edward metallic prosthesis. She came back to the operating surgeon after 10 years of valve replacement with a history of three uneventful healthy deliveries and no follow-up and INR monitoring during this period.

Original languageEnglish
Pages (from-to)292-293
Number of pages2
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Issue number5
Publication statusPublished - May 2007
Externally publishedYes


  • Anticoagulation
  • Pregnancy
  • Prosthetic heart valves
  • Rheumatic heart disease


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