Abstract:

Pregnancy after valve replacement for rheumatic heart disease is a high-risk pregnancy.There are risks of valve thrombosis， anticoagulation-related complications， prosthetic valve dysfunction and prosthetic valve endocarditis.Comprehensive preconception evaluation and strict management should be carried out in order to reduce maternal and neonatal complications.

Key words: rheumatic heart valve disease, prosthetic heart valve, pregnancy, high-risk

摘要：

风湿性心脏病瓣膜置换术后妊娠属高危妊娠，存在瓣膜血栓形成、抗凝相关并发症、人工瓣膜功能障碍及感染性心内膜炎等风险，应对其进行全面的妊娠前评估及严格的孕期管理，以期降低母儿并发症。

关键词: 风湿性心脏瓣膜病, 人工心脏瓣膜, 妊娠, 高危