Cardiac Surgery in Pregnant Women
Journal Title: International Journal of Surgery & Surgical Techniques - Year 2020, Vol 4, Issue 2
Abstract
The need for cardiac surgery during pregnancy is rare. Only 1% to 4% of pregnancies are complicated by maternal heart disease and most of them can be treated with medical therapy and lifestyle changes. Occasionally, whether due to the natural progression of underlying heart disease or precipitated by cardiovascular changes in pregnancy, cardiac surgical therapy should be considered. Cardiac surgery is inherently dangerous for both mother and fetus with mortality rates close to 10% and 30%, respectively. For some conditions, percutaneous cardiac intervention offers effective therapy with much less risk for the mother and her fetus. For others, cardiac surgery, including procedures that require the use of cardiopulmonary bypass, should be considered to save the mother's life. Given the extreme risks to the fetus, if the patient is in the third trimester, serious consideration should be given to pre-operative delivery involving cardiopulmonary bypass. At earlier gestational ages, when this is not feasible, modifications to the infusion protocol, including higher flow rates, normothermic perfusion, pulsatile flow, and the use of intraoperative monitoring of the external fetal heartbeat should be considered.
Authors and Affiliations
Mello MAJ*, Mazza CA and Gabriel EA
Keywords
Related Articles
- EP ID EP747259
- DOI 10.23880/ijsst-16000149
- Views 23
- Downloads 0
Goblet Cell Carcinoid of Appendix: Report of Two Cases and Review of Controversial Aspects
Goblet cell Carcinoid is a rare type of appendix tumor that constitutes 14% of malignant appendix neoplasms. Management of these lesions is a challenge; there are many controversial points and, until now, no consensus ha...
Past, Present and Future of THA and Hip Surgery: An Expert Opinion
Innovation in Orthopaedic Surgery is motivated by the desire to improve implant longevity, maximise patient function and reduce postoperative complications. In recent years, other goals of innovation include reduced H...
Comparison of Karydakis Flap and Limberg Flap in Pilonidal Sinus
The occurrence of Pilonidal sinus in the community is quite common. This is a series of cases from Jan 2008 till Dec 2017. A total of 19 males were operated. They were in the age group 27 years to 45 years. All the indi...
Missing Mandibular Third Molar from Line of Fracture: A Diagnostic Dilemma
Maxillofacial fractures are clinically very significant because of functional and cosmetic importance of this region. Any misdiagnosis might result in disfigurement of the face as well as malocclusion. Conventional radi...
Irritational Pyogenic Granuloma - A Case Report
Gingival overgrowth, results due to increase in the number of cells or cell size. Pyogenic granuloma (PG) a relatively common gingival tumour like over growth, occurs as an exuberant tissue response to localized irritat...