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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...

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Related Experiment Video

Updated: Jun 13, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

Cardiac surgery in pregnancy.

William H Barth1

  • 1Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts 02114, USA. wbarthjr@partners.org

Clinical Obstetrics and Gynecology
|April 16, 2010
PubMed
Summary

Cardiac surgery during pregnancy is rare but carries high risks for mother and fetus. Delivery before cardiopulmonary bypass surgery is recommended in the third trimester.

Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Cardiovascular Surgery

Background:

  • Cardiac surgery in pregnancy is infrequent, affecting 1-4% of pregnancies.
  • Most maternal cardiac disease is managed medically, but surgery may be necessary.
  • Pregnancy-induced cardiovascular changes can exacerbate underlying heart conditions.

Purpose of the Study:

  • To review the risks and management strategies for cardiac surgery during pregnancy.
  • To discuss alternative interventions like percutaneous cardiac intervention.
  • To outline recommendations for optimizing fetal outcomes during maternal cardiac surgery.

Main Methods:

  • Review of existing literature on maternal cardiac surgery and pregnancy outcomes.
  • Analysis of risks associated with cardiopulmonary bypass during gestation.

Related Experiment Videos

Last Updated: Jun 13, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

  • Discussion of modified perfusion protocols and fetal monitoring.

    • Main Results:

    • Cardiac surgery during pregnancy has high mortality rates: ~10% for mothers and ~30% for fetuses.
    • Percutaneous cardiac intervention offers a lower-risk alternative for select conditions.
    • Delivery before cardiopulmonary bypass is advised in the third trimester.

    Conclusions:

    • Cardiac surgery in pregnancy is a high-risk procedure requiring careful consideration.
    • Modified cardiopulmonary bypass techniques and timely delivery can improve maternal and fetal survival.
    • Individualized management plans are crucial for pregnant patients requiring cardiac intervention.