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.

Severi, F.M., Ignacchiti, E., Setacci, F., Palasciano, G., Setacci, C., & Petraglia, F. (2004). Pregnancy and delivery after right common carotid artery endarterectomy. OBSTETRICS AND GYNECOLOGY, 104(5, part 2), 1140-1142 [10.1097/01.AOG.0000125552.00171.9a].

Pregnancy and delivery after right common carotid artery endarterectomy

SEVERI, F. M.;IGNACCHITI, E.;PALASCIANO, G.;SETACCI, C.;
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.
Severi, F.M., Ignacchiti, E., Setacci, F., Palasciano, G., Setacci, C., & Petraglia, F. (2004). Pregnancy and delivery after right common carotid artery endarterectomy. OBSTETRICS AND GYNECOLOGY, 104(5, part 2), 1140-1142 [10.1097/01.AOG.0000125552.00171.9a].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11365/30092
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