Open heart surgery during pregnancy

Meffert, William G.; Stansel, H.C.

doi:10.1016/0002-9378(68)90401-8

Cited by 22 publications

(9 citation statements)

References 15 publications

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“…When the patient has sub-acute bacterial endocarditis the maternal mortality is higher if termination is performed than when the pregnancy is allowed to continue (Cates and Christie, 195 1; Barnes, 1968). Nevertheless both medical treatment and heart surgery may carry the risk of producing congenital abnormalities (Meffert and Stansel, 1968).…”

Section: Treatmentmentioning

confidence: 99%

Bacterial Endocarditis in Pregnancy

Ward

Hickman

1971

Aust NZ J Obst Gynaeco

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Section: Treatmentmentioning

confidence: 99%

Bacterial Endocarditis in Pregnancy

Ward

Hickman

1971

Aust NZ J Obst Gynaeco

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“…Additionally, cardiovascular operation using deep hypothermia with total circulatory arrest for aortic repair may be associated with a higher risk of foetal mortality [ 15 ]. Some CPB parameters are adjusted to improve foetal outcome: for example, high flow rates and a target MAP > 70 mmHg are recommended for placental perfusion [ 16 ]. Three pregnant women in the first two trimesters underwent repair first, and successfully gave birth to healthy infants.…”

Section: Discussionmentioning

confidence: 99%

Antepartum acute Stanford type A aortic dissection: a case report and literature review

Song

Lü

et al. 2022

J Cardiothorac Surg

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Background Aortic dissection in pregnancy is a life-threatening event that is associated with high maternal and foetal mortality. Most cases occur during the third trimester of pregnancy, Herein, we describe a case of a pregnant woman with acute type A aortic dissection at 28 weeks of gestation. Case presentation A previously healthy, 24-year-old gravida 2 para 1 woman was brought to the emergency department during at the 28 weeks of gestation and diagnosed with acute type A aortic dissection. Cesarean section was performed with the cardiac surgical team on standby for cardiopulmonary bypass and the patient delivered a baby weighing 1000 g. After the operation, we performed the Beatall procedure and total arch replacement with FET using the deep hypothermic circulatory arrest technique. Both the mother and child survived and recovered well. A review of the literature on antepartum acute aortic dissection during pregnancy is also presented. Conclusion Women should have a comprehensive, systematic physical examination before getting pregnant. Women at high risks of aortic dissection must undergo multidisciplinary evaluation and be counseled before pregnancy, once they become pregnant, their consistent aortic root diameter should be consistently monitored, and their blood pressure strictly controlled.

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“…The effect of maternal heart-lung bypass on the fetus is not well understood. Fetal hypoxia may occur with diminished placental perfusion which could be caused by lack of pulsatile flow, opening of uterine arterio-venous shunts, uterine arterial spasm during bypass or the possibility that particulate or bubble emboli may interfere with placental circulation during perfusion (Meffert and Stansel, 1968).…”

Section: Discussionmentioning

confidence: 99%

“…REPORTS of the use of open heart surgery during pregnancy have appeared in the literature from time to time (Szekely and Snaith, 1974), but only rarely has fetal monitoring during cardiopulmonary bypass been reported (Koh et al, 1975; Werch and Lambert, 1977). It has been suggested that the fetal mortality can be as high as 33 per cent during open heart surgery (Zitnik et al, 1969) but can be significantly reduced by the routine use of fetal monitoring (Koh et al, 1975).…”

mentioning

confidence: 99%