Case Series: Video-Assisted Minimally Invasive Cardiac Surgery During Pregnancy

Abstract

Surgical intervention is expected to improve maternal outcomes in pregnant patients with heart disease once the conservative treatment fails. For pregnant patients with heart disease, the risk of cardiac surgery under cardiopulmonary bypass (CPB) must be balanced due to the high fetal loss. The video-assisted minimally invasive cardiac surgery (MICS) has been progressively applied and shows advantages in non-pregnant patients over the years. We present five cases of pregnant women who underwent a video-assisted minimally invasive surgical approach for cardiac surgery and the management strategies. In conclusion, the video-assisted MICS is feasible and safe to pregnant patients, with good maternal and fetal outcomes under the multidisciplinary assessment and management.

Effectiveness of the Magnesium Application in Obstetrical Practice

“…The problem of maintaining reproductive health, reducing obstetric and perinatal complications, taking into account the complex demographic situation that has developed in Ukraine over the last 10-15 years, goes beyond the medical sector and is of national importance [2,4,5]. Among the many factors that support the life of the body of the pregnant and the fetus, micronutrients that are necessary for the normal growth and functioning of cells, tissues, organs and systems, prevention of infections, metabolism of the main classes of nutrients, hormones, mediators and other biologists are of great importance [6,12].…”

“…When carrying out magnesium therapy, it should be borne in mind that the endothelial and antiplatelet effect of magnesium preparations is short-lived and ends after their excretion. Therefore, long-term maintenance of oral forms of magnesium preparations during pregnancy is required [1,[4][5][6].…”