Case Series: Video-Assisted Minimally Invasive Cardiac Surgery During Pregnancy

Area of Science:

• Cardiovascular Surgery
• Maternal-Fetal Medicine
• Minimally Invasive Techniques

Background:

• Surgical intervention is considered for pregnant patients with heart disease when conservative management is insufficient.
• Cardiac surgery in pregnancy, especially with cardiopulmonary bypass (CPB), carries significant risks, including high fetal loss rates.
• Video-assisted minimally invasive cardiac surgery (MICS) has demonstrated benefits in non-pregnant patients.

Observation:

• This study presents five cases of pregnant women undergoing video-assisted MICS for cardiac conditions.
• Detailed management strategies were employed for these complex cases.
• A multidisciplinary approach was crucial for patient care.

Findings:

• Video-assisted MICS proved to be a feasible and safe surgical option for pregnant patients.
• The procedure resulted in favorable maternal outcomes.
• Positive fetal outcomes were observed, indicating successful management.

Implications:

• Video-assisted MICS can be a viable alternative to traditional open-heart surgery in pregnant women with cardiac disease.
• This approach may reduce maternal and fetal risks associated with cardiac surgery during pregnancy.
• Multidisciplinary collaboration is key to optimizing outcomes in these high-risk pregnancies.