Key result
Cardiac surgery under cardiopulmonary bypass was successfully performed in four pregnant women with severe symptomatic heart disease, resulting in 100% maternal and fetal survival.
Why the study?
Open heart surgery during pregnancy carries a high risk of maternal and infant mortality, and safe execution of cardiopulmonary bypass remains a major clinical challenge.
Does cardiac surgery under cardiopulmonary bypass improve maternal and fetal outcomes in pregnant women with severe symptomatic heart disease?
Case Report (n=4)
No
Does cardiac surgery under cardiopulmonary bypass improve maternal and fetal outcomes in pregnant women with severe symptomatic heart disease?
Cardiac surgery under cardiopulmonary bypass can be successfully and safely performed in pregnant women with severe symptomatic heart disease, resulting in favorable maternal and fetal survival.
Supports feasibility of cardiopulmonary bypass in pregnancy; leaves open whether it improves outcomes versus medical management.
Background: Open heart surgery during pregnancy is relatively rare at home and abroad, with high risk and high probability of maternal and infant death. How to carry out heart valve replacement under cardiopulmonary bypass (CPB) under the condition of ensuring the safety of mother and child is a focus of attention at home and abroad. Case introduction: We reported four cases of pregnant women who underwent cardiac surgeries under CPB during pregnancy in our hospital. Three cases had infective endocarditis (IE), who underwent heart valve placement with mechanical mitral valve, and one case with ascending aortic aneurysm underwent Bentall surgery. The operations of four cases were successful, and further follow-up evaluation of the pregnant women and fetus showed no abnormality. Patients' details are available in the following table. Conclusion: Actively and proactively for heart disease during pregnancy with obvious symptoms. Cardiac valve replacement under CPB will be the first choice, and this may become the primary surgical treatment for symptomatic heart diseases during pregnancy.
No takes yet. Share an insight, caveat, or question.
You et al. (2021) conducted a case report in Heart disease during pregnancy (infective endocarditis, ascending aortic aneurysm) (n=4). Cardiac surgery under cardiopulmonary bypass was evaluated on Maternal and fetal survival. Cardiac surgery under cardiopulmonary bypass was successfully performed in four pregnant women with severe symptomatic heart disease, resulting in 100% maternal and fetal survival.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: