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Cardiac Surgery During Pregnancy
Elizabeth H Stephens1, Joseph A Dearani1, William Mauermann2
1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
Abstract:
The need for cardiovascular surgery during pregnancy is infrequent but is expected to increase as more patients with congenital heart disease live into childbearing years. Care for women considering pregnancy with residual, recurrent, or newly identified lesions related to congenital heart disease disease must address therapeutic options that maximize the mother's health while acknowledging concerns for procedural effects on fetal development and risks associated with preterm delivery. This report summarizes the current knowledge regarding optimal intraoperative techniques for the pregnant patient and provides recommendations to optimize maternal and fetal outcomes.
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