Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Intrauterine pregnancy and aortic valve replacement

D A Paulus1, A J Layon, W R Mayfield

  • 1Department of Anesthesiology, College of Medicine, University of Florida, Gainesville 32610-0254, USA.

Journal of Clinical Anesthesia
|June 1, 1995
PubMed
Summary

Cardiopulmonary bypass (CPB) poses minimal maternal risk but significant fetal concerns. Delaying surgery until the second trimester is advised, though ethical dilemmas arise if not possible.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Interaction between tumor-infiltrating lymphocytes and BMI in early HER2-positive breast cancer: analysis of the ShortHER trial.

ESMO open·2025
Same author

Beliefs about medicines in gout patients: results from the NOR-Gout 2-year study.

Scandinavian journal of rheumatology·2023
Same author

Corrigendum to [Effects of a new compound containing Palmitoylethanolamide and Baicalein in myocardial ischaemia/reperfusion injury in vivo] [PHYMED: 2019 Feb 15;54:27-42 Epub 2018 Sep 19].

Phytomedicine : international journal of phytotherapy and phytopharmacology·2023
Same author

Impact of sarcopenia in SARS-CoV-2 patients during two different epidemic waves.

Clinical nutrition ESPEN·2022
Same author

Radiotherapy Quality Assurance in the PORTEC-3 (TROG 08.04) Trial.

Clinical oncology (Royal College of Radiologists (Great Britain))·2021
Same author

Serial cervical-length measurements after first episode of threatened preterm labor improve prediction of spontaneous delivery prior to 37 weeks' gestation.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology·2020

Area of Science:

  • Cardiovascular Surgery
  • Maternal-Fetal Medicine
  • Medical Ethics

Background:

  • Cardiopulmonary bypass (CPB) is a critical procedure in cardiac surgery.
  • Valvular heart disease in pregnancy presents complex management challenges.
  • Balancing maternal health and fetal well-being during CPB is paramount.

Observation:

  • CPB generally demonstrates acceptable maternal safety.
  • Fetal complications represent a significant risk during CPB in pregnancy.
  • Surgical intervention is ideally postponed until the second trimester.

Findings:

  • Ethical conflicts emerge when immediate surgery is necessary, pitting maternal autonomy against fetal interests.
  • Maternal physiological changes during and after CPB can exacerbate pre-existing conditions or introduce new risks.

Related Experiment Videos

  • The timing of CPB significantly influences both maternal and fetal outcomes.

    • Implications:

    • Careful consideration of gestational age is crucial for optimizing outcomes in pregnant patients requiring CPB.
    • Management strategies must address the complex interplay between maternal cardiovascular status and fetal development.
    • Further research is needed to refine ethical guidelines and surgical protocols for CPB during pregnancy.