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[Heart valve surgery during pregnancy. Experience with eight cases]
P M Pomerantizeff1, A Beníco, C M Brandão
1Instituto do Coração, Hospital das Clínicas, FMUSP.
Arquivos Brasileiros De Cardiologia
|August 26, 1998
Summary
Cardiac surgery in pregnant women can yield good outcomes. Careful cardiopulmonary bypass management and fetal monitoring are crucial for patient and infant safety during valve procedures.
Area of Science:
- Cardiovascular Surgery
- Maternal-Fetal Medicine
- Anesthesiology
Context:
- Cardiac valve surgery in pregnant patients presents unique challenges.
- Cardiopulmonary bypass (CPB) requires careful management to ensure maternal and fetal well-being.
- Limited data exists on the outcomes of these complex procedures.
Purpose:
- To analyze the outcomes of valve cardiac surgery in pregnant women.
- To assess the consequences of cardiopulmonary bypass on patients and their fetuses.
- To evaluate the safety and efficacy of cardiac surgery during pregnancy.
Summary:
- Eight pregnant women underwent valve cardiac surgery (aortic or mitral) between 1986 and 1996.
- All patients had continuous fetal monitoring, and CPB was maintained at >34°C with high flow rates.
- No maternal mortality occurred; two premature births resulted in one infant with neurological damage, while others had normal growth.
Impact:
- Demonstrates that valve cardiac surgery can be performed in pregnant women with acceptable outcomes.
- Highlights the critical importance of meticulous cardiopulmonary bypass management and fetal surveillance.
- Provides evidence supporting the consideration of surgical intervention for pregnant women with severe valve disease.