Outcome of cardiovascular surgery and pregnancy: A systematic review of the period 1984-1996

Weiss, Branko M.; Segesser, Ludwig K. von; Alon, Eli; Seifert, Burkhardt; Turina, M

doi:10.1016/s0002-9378(98)70039-0

Cited by 282 publications

(199 citation statements)

References 113 publications

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“…haftalar arasında hangi ameliyatın önce yapıla-cağına fetüsün durumuna göre karar verilir. Gebelik sırasındaki kardiyovasküler cerrahide fetal ve maternal mortalite riskleri sırasıyla % 20-30 ve % 2-6'dır (10) . Aort diseksiyonu varlığında doğum sırasında anestezi yönetimindeki hedef diseke veya anormal aortanın neden olduğu kardiyovasküler labiliteyi en aza indirmektir.…”

Section: Discussionunclassified

Anesthetic Management of a Patients With Acute Type A Aortic Dissection Immediately After Caesarean Section

Yücel¹,

Gedik²,

Özgül³

et al. 2012

GKDA Derg

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Section: Discussionunclassified

Anesthetic Management of a Patients With Acute Type A Aortic Dissection Immediately After Caesarean Section

Yücel¹,

Gedik²,

Özgül³

et al. 2012

GKDA Derg

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“…Native valve diseases and prosthetic valve disfunction are still the most important surgical indications in pregnant women requiring heart surgery (Weiss, 1998). Aortic valve diseases can become more symptomatic during pregnancy.…”

Section: Prosthetic Valve Choice In Prengnancymentioning

confidence: 99%

“…These good results are suggested to be due to the usage of new fixation technics and the development of agents used for anti-mineralization (Carpentier 1995 (Abbas, 2005). A maternal mortality rate of 10% is seen in these patients (Weiss BM, 1998). On the other hand, complications due to high dose anticoagulants is seen more frequently too.…”

Section: Wwwintechopencommentioning

confidence: 99%

Which Valve to Who: Prosthetic Valve Selection for Aortic Valve Surgery

Inan¹,

Saçar²,

Önem³

et al. 2011

Aortic Valve Surgery

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“…A risk assessment should be performed prior to pregnancy and repeated antenatally, and hospital delivery should be advised. 1,2 The various risk factor assessment models available include the modified WHO score and the CARPREG score. While both perform well, different studies have shown different results.…”

Section: Introductionmentioning

confidence: 99%

Risk assessment and prediction of complications in pregnant women with heart disease

Chauhan

Saxena

2017

Int J Reprod Contracept Obstet Gynecol

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Background: There is a vast improvement in the survival and quality of life of patients with both major and minor structural and functional cardiac defects. Objective of present study was to calculate CARPREG (CARdiac disease in PREGnancy) risk score and test its efficacy in predicting the occurrence of adverse maternal cardiac events in patients with heart disease.Methods: This was a prospective observational study where CARPREG score was calculated for 100 pregnant patients as soon as they were enrolled and the degree of risk and maternal complications were recorded and studied in relation to the score.Results: Out of the 100 patients included in our study, it was found that Rheumatic heart disease (69%) with isolated mitral stenosis was the predominant cardiac problem. Maternal cardiac events complicated 14% pregnancies with congestive cardiac failure occurring most frequently. The complication rate was 1.56%, 5.56% and 66.67% in patients with CARPREG score of 0, 1 and ≥2 respectively. The sensitivity, specificity, positive predictive value and negative predictive value of CARPREG score in predicting the complications were 66.67%, 97.56%, 85.71% and 93.02% respectively. Hence, the score was efficacious in predicting the maternal cardiac complications and was found to be a statistically significant predictor of maternal complications (p value=7.39E-06).Conclusions: The CARPREG risk index has a high specificity and negative predictive value with regards to cardiac complications in pregnant women with heart disease. It may, therefore, be routinely used to improve the assessment of cardiac risk before and during pregnancy.

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Outcome of cardiovascular surgery and pregnancy: A systematic review of the period 1984-1996

Cited by 282 publications

References 113 publications

Anesthetic Management of a Patients With Acute Type A Aortic Dissection Immediately After Caesarean Section

Anesthetic Management of a Patients With Acute Type A Aortic Dissection Immediately After Caesarean Section

Which Valve to Who: Prosthetic Valve Selection for Aortic Valve Surgery

Risk assessment and prediction of complications in pregnant women with heart disease

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