Cardiac Surgery During Pregnancy

Nguyen, Anita; Schaff, Hartzell V.

doi:10.1002/9781119409861.ch26

Cited by 3 publications

(2 citation statements)

References 56 publications

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“…Cardiac surgical procedures during pregnancy is extremely risky and the fetal mortality rate is extremely high, up to 20% or more [7]. Therefore, open heart surgery in pregnant women is usually avoided and ideally delayed until 6 weeks postpartum [8]. However, when pregnant women develop obvious symptoms, early cardiac surgical intervention is the best option, and heart valve replacement is the first choice.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Surgery Under Cardiopulmonary Bypass in Pregnancy: Report of Four Cases

You

Liu

et al. 2021

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Background: Open heart surgery during pregnancy is relatively rare at home and abroad, with high risk and high probability of maternal and infant death. How to carry out heart valve replacement under cardiopulmonary bypass (CPB) under the condition of ensuring the safety of mother and child is a focus of attention at home and abroad. Case introduction: We reported four cases of pregnant women who underwent cardiac surgeries under CPB during pregnancy in our hospital. Three cases had infective endocarditis (IE), who underwent heart valve placement with mechanical mitral valve, and one case with ascending aortic aneurysm underwent Bentall surgery. The operations of four cases were successful, and further follow-up evaluation of the pregnant women and fetus showed no abnormality. Patients' details are available in the following table. Conclusion: Actively and proactively for heart disease during pregnancy with obvious symptoms. Cardiac valve replacement under CPB will be the first choice, and this may become the primary surgical treatment for symptomatic heart diseases during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Cardiac Surgery Under Cardiopulmonary Bypass in Pregnancy: Report of Four Cases

You

Liu

et al. 2021

Preprint

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“… 1 When medical therapy is ineffective, invasive interventions are needed to save the mother and, if possible, the fetus. Because surgery is associated with a high rate of fetal loss, 2 , 3 catheter-based percutaneous interventions have emerged as an alternative therapy. The purpose of this article is to provide an update on indications, potential benefits, and limitations of available percutaneous interventions for the treatment of various valvular conditions during pregnancy.…”

mentioning

confidence: 99%

Catheter-Based Interventions for the Management of Valvular Heart Disease During Pregnancy

2022

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Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases

You

Liu

et al. 2021

J Cardiothorac Surg

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Background Open heart surgery during pregnancy is relatively rare at home and abroad, and there is a higher risk and probability of maternal and infant death. How to carry out heart valve replacement under cardiopulmonary bypass (CPB) under the premise of ensuring the safety of mother and child is the focus of attention at home and abroad. Case introduction We reported four cases of cardiac surgeries under CPB during pregnancy performed in our hospital from March 2020 to March 2021. Two of the patients continued their pregnancy after cardiac surgery under CPB. Three patients had infective endocarditis and the other one had an ascending aortic aneurysm. Three patients underwent heart valve placement with the mechanical mitral valve when the other one underwent Bentall surgery. The operations of four cases were all successful, and further follow-up evaluation of the pregnant women and fetuses showed no abnormalities. The patients' detailed information is shown in the following table. Conclusion Heart disease during pregnancy should be treated actively and proactively when the patient has obvious symptoms. Heart valve replacement under CPB will be the first choice, and this may become the primary surgical treatment for symptomatic heart disease during pregnancy.

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Cardiac Surgery During Pregnancy

Cited by 3 publications

References 56 publications

Cardiac Surgery Under Cardiopulmonary Bypass in Pregnancy: Report of Four Cases

Cardiac Surgery Under Cardiopulmonary Bypass in Pregnancy: Report of Four Cases

Catheter-Based Interventions for the Management of Valvular Heart Disease During Pregnancy

Cardiac surgery under cardiopulmonary bypass in pregnancy: report of four cases

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