Tactics of anaesthesiological support and intensive therapy of the pregnant having hemodynamically significant inherent cardiac disorders. Analysis of a series of clinical observations

Баутин, А. Е.; Aram-Balyk, N.V.; Мазурок, В.А.; Yakubov, A.V.; Bobkova, A.S.; Badalyan, N.V.; Kokonina, Yu.A.; Li, O.A.; Irtyuga, Olga; Zazerskaya, Irina E.; Moiseyeva, O.M.

doi:10.21145/2499-9954-2017-3-137-143

Cited by 3 publications

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“…Labour and the early postpartum period should be attributed to the periods of greatest risk. 12 , 13 Su-Mei et al 14 described a clinical case of low-symptomatic aortopulmonary window in a patient who successfully completed three pregnancies by vaginal delivery. There is no information on the course of previous pregnancies and deliveries in this clinical case.…”

Section: Discussionmentioning

confidence: 99%

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Sefiyeva,

Malishevskaya,

Chynybekova

et al. 2023

European Heart Journal - Case Reports

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Background Aortopulmonary window is a rare congenital heart defect that results in severe pulmonary arterial hypertension (PAH), Eisenmenger syndrome, and congestive heart failure in the first months of life. Pregnancy is absolutely contraindicated in the patients with this condition [7]. Case summary This paper describes two clinical cases of pregnancy in patients (28 and 20 years old) with aortopulmonary window defect, severe pulmonary arterial hypertension, and Eisenmenger syndrome that ended in preterm delivery by cesarean section. One patient died in the postpartum period due to progression of right ventricular heart failure. The younger patient survived childbirth and the postpartum period; later she continued therapy at the pulmonary arterial hypertension center. Discussion We describe unusual cases of clinical features in pregnants with aortopulmonary window defect. Due to the rare occurrence and low survival rate of patients with uncorrected aortopulmonary window defect, descriptions of clinical cases of this defect in adults are very rare. It is very important to note the necessity of observation of these patients in specialized centers by a multidisciplinary team of healthcare professionals, due to the high risk of cardiovascular, obstetric complications, and death.

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Section: Discussionmentioning

confidence: 99%

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Sefiyeva,

Malishevskaya,

Chynybekova

et al. 2023

European Heart Journal - Case Reports

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Volumetric compression oscillometry for hemodynamic assessment in adults with congenital heart disease and pulmonary hypertension

Мазурок¹,

Nurgalieva²,

Баутин³

et al. 2022

Anaes. i reanim.

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Eisenmenger's Syndrome and Pregnancy: Aspects of Etiopathogenesis and Therapeutic Tactics

Petrov

G.Yu.

Palieva

2021

Mediko-farmacevtičeskij žurnal "Pulʹs"

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In the modern world, the problem of maintaining a woman's reproductive potential and preserving the resulting pregnancy comes to the fore. An important aspect remains the increasing number of concomitant extragenital diseases. The most common pathology of the cardiovascular and respiratory systems. A rare and often fatal complication is Eisenmenger's syndrome. Eisenmenger's syndrome is a pathological process that occurs due to bidirectional blood discharge or right-left blood discharge due to the presence of a message between the right and left parts of the heart, clinically manifested by severe pulmonary hypertension with diffuse cyanosis. It occurs against the background of an existing decompensated heart defect - a defect of the atrial septum, interventricular septum, open arterial duct, anomalies of the pulmonary veins. Previously, it was believe that the threat of developing Eisenmenger syndrome is an absolute indication for termination of pregnancy, and this pathology is not compatible with gestation. Currently, the effect of pregnancy on the cardiovascular system has been study and recommendations for the management of such patients have been develop. It found that due to an increase in the volume of circulating blood, cardiac output, a decrease in total peripheral resistance and blood pressure, there is an increase in the load on the cardiovascular system and a change in the pharmacokinetics of drugs, which leads to a revision of the treatment tactics used before pregnancy. The situation is aggravated by an increase in blood clotting factors, fibrinogen, platelet aggregation and a decrease in fibrinolysis factors, which, together with the restriction of taking low-molecular-weight heparins due to the tendency of patients with Eisenmenger syndrome to bleeding and thrombosis, causes difficulties in determining the tactics of patient management, emphasizing the importance and relevance of the problem.

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Tactics of anaesthesiological support and intensive therapy of the pregnant having hemodynamically significant inherent cardiac disorders. Analysis of a series of clinical observations

Cited by 3 publications

References 0 publications

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Clinical features and pregnancy outcomes in women with aortopulmonary window defect: case series

Volumetric compression oscillometry for hemodynamic assessment in adults with congenital heart disease and pulmonary hypertension

Eisenmenger's Syndrome and Pregnancy: Aspects of Etiopathogenesis and Therapeutic Tactics

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