Warfarin-associated Fetal Intracranial Hemorrhage: A Case Report
Journal of Korean Medical Science
;
: 764-767, 2003.
Artigo
em Inglês
| WPRIM
| ID: wpr-164218
ABSTRACT
A 27-yr-old woman who had been taking warfarin for 10 yr after mitral valve replacement became pregnant. After knowing her pregnancy, she received heparinization for nine weeks instead of warfarin, and took oral anticoagulant again. At 24 weeks of gestation, fetal ultrasound and MRI showed a left subdural hematoma, and the pregnancy was terminated. Subdural hematoma was demonstrated on autopsy. Fatal bleeding of the fetus is a rare complication of maternal warfarin medication, occurring mostly in the second or third trimester. There is no alternative regimen available, so that regular monitoring by fetal ultrasound and strict control of warfarin dose with regular measurement of prothrombin time are the best way to prevent intrauterine fetal death due to bleeding.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Hematológicas na Gravidez
/
Tempo de Protrombina
/
Varfarina
/
Heparina
/
Exposição Materna
/
Hemorragias Intracranianas
/
Permeabilidade do Canal Arterial
/
Doenças Fetais
/
Doenças das Valvas Cardíacas
/
Hematoma
Limite:
Adulto
/
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2003
Tipo de documento:
Artigo
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