Objective
Pregnancy in carrier women of prosthesis mechanical heart is a high-rish pregnancy. Indeed, the risk of accidents thromoemboliques even on well led anticoagulation therapy remains high due to the presence of the state of hypercoagulability, mechanical prosthesis and the peri-partum hemorrhage. Multidisciplinary follow-up is essentizal.The prescription of anticoagulant therapy must comply with the principles and consensual indications in order to minimize maternal and fetal complications. The aim is to define treatment modalities and to maintain optimal obstricale in a patient with mechanical heart valve prosthesis.
Methods
It is a monocentric and retrospective study from January 2000 to October 2015.Among183 cardiac prosthesis thrombosis census, there are 24 pregnant women. 20 have been operated under cardiopulmonary bypass with four abortion and 04 receiving anticoagulant therapy with two abortions.