Why the study?
Is surgical treatment of right atrial thromboembolism safe and feasible in pregnant women?
Is surgical treatment of right atrial thromboembolism safe and feasible in pregnant women?
Surgical removal of right atrial thrombus can be safely performed in pregnant women, including on a working heart without extracorporeal circulation.
Surgical options for right-chamber thromboembolism in pregnancy may be feasible; hypothesis-generating and should not yet change practice.
Two clinical cases of surgical treatment of cardiac right-chamber thromboembolism in pregnant women are described. Thromboembolism was diagnosed during a routine examination. In the first clinical case, considering the late pregnancy, a thromboembolectomy was performed under artificial circulation after surgical delivery. In the second case, thrombus removal from the right atrium was performed on a working heart, without interruption of pregnancy. The surgical and postsurgical period proceeded without any specific features and the patients were discharged from the hospital without any complications. These clinical cases show that it is possible to remove thrombus from the right heart chambers without the use of extracorporeal circulation, which is also safe for the mother and the fetus.
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Abdulyanov et al. (2021) studied this question.
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