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Related Experiment Videos

Homograft aortic root replacement during pregnancy.

Kapil Gopal1, Ida M Hudson, Jack Ludmir

  • 1Department of Surgery, Pennsylvania Hospital, Philadelphia 19106, USA.

The Annals of Thoracic Surgery
|July 18, 2002
PubMed
Summary

Cardiac surgery in pregnant women has improved maternal survival but fetal mortality remains high. This case study presents aortic root replacement in a pregnant patient with bacterial endocarditis, utilizing fetal echocardiography.

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Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Maternal-Fetal Medicine

Background:

  • Cardiac operations in pregnant women have evolved since the 1950s.
  • Maternal mortality rates for cardiac surgery now approximate those in non-pregnant patients.
  • Fetal mortality remains a significant concern, reported at approximately 20%.

Observation:

  • A 34-year-old pregnant woman at 18 weeks gestation presented with bacterial endocarditis.
  • The patient underwent aortic root replacement using an aortic homograft.
  • Fetal echocardiography was utilized for monitoring during and after cardiopulmonary bypass.

Findings:

  • Successful aortic root replacement was performed.
  • Maternal outcomes were favorable.

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  • Fetal well-being was monitored throughout the procedure.

    • Implications:

    • This case highlights the feasibility of complex cardiac surgery in pregnancy.
    • Fetal echocardiography is a valuable tool for monitoring fetal status during maternal cardiac interventions.
    • Further research is needed to optimize fetal outcomes in pregnant patients undergoing cardiac surgery.