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 31
- Downloads 0
Rare Cases of Primary Glioblastoma Multiforme in the Cervical Spinal Cord, Report of Two Cases and Literature Review
Glioblastoma multiforme (GBM) is a highly aggressive and malignant tumor that can arise in the central nervous system, including the spinal cord. We presented two cases of GBM in spinal cord and cerebellum, respectively...
Epidemiological Study of Molecular and Genetic Classification in Adult Diffuse Glioma
Background: Mutations in isocitrate dehydrogenase 1 (IDH1) and isocitrate dehydrogenase 2 (IDH2) are frequent in lowgrade and high-grade gliomas. However, the diagnostic criteria, in particular for gliomas, are highly va...
Hook Wire Localization Failure of Peripheral Pulmonary Nodules during Perioperative Video-Assisted Thoracoscopic Surgery Period
Introduction: Computed tomography (CT) guided Hook wire localization is often used to identify peripheral small nodules prior to video-assisted thoracoscopic surgery (VATS). Pneumothorax, intrapulmonary hemorrhage, syst...
Cardiac Surgery in Pregnant Women
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, whe...
Radiation Cholecystitis: A Diagnosis to Be Considered
Radiation cholecystitis is an uncommon biliary complication after yttrium -90 radio-embolization. The incidence of radiation cholecystitis is almost 1 % after radio-embolization. The spectrum of this complication can...