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Updated: Jun 8, 2026
08:42
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Emergency tricuspid valve replacement during pregnancy.
1Department of Anesthesiology, Pharmacology and Therapeutics, Vancouver General Hospital, University of British Columbia, Vancouver, BC V5Z 4E3, Canada. wallacep@interchange.ubc.ca
Journal of Clinical Anesthesia
|September 28, 2010
Summary
A pregnant woman with severe heart valve issues underwent emergency surgery using cardiopulmonary bypass (CPB). While the mother survived, the fetus was lost, highlighting risks in pregnant cardiac surgery.
Area of Science:
- Cardiology
- Cardiothoracic Surgery
- Maternal-Fetal Medicine
Background:
- Severe tricuspid regurgitation and cardiogenic shock in pregnancy pose significant risks.
- Surgical intervention, including valve replacement, may be necessary in refractory cases.
- Cardiopulmonary bypass (CPB) is a critical support system during cardiac surgery.
Observation:
- A 36-year-old pregnant patient at 19 weeks' gestation required emergency tricuspid valve replacement.
- Normothermic, pulsatile, high-flow, high-pressure CPB was utilized without fetal monitoring.
- The patient experienced a miscarriage 10 days postoperatively.
Findings:
- The patient survived the complex cardiac surgery and recovered.
- Despite advanced CPB techniques, fetal demise occurred.
- The optimal CPB strategy for fetal outcomes in pregnant patients remains unclear.
Implications:
- This case underscores the critical risks associated with CPB during pregnancy.
- Further research is needed to establish evidence-based guidelines for CPB in pregnant cardiac surgery patients.
- Careful consideration of maternal and fetal status is paramount in managing such high-risk pregnancies.
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