Why the study?
Can cardiac surgery on cardiopulmonary bypass be safely performed in a pregnant patient with severe multivalvular disease and pulmonary hypertension when medical management fails?
Case Report (n=1)
No
Can cardiac surgery on cardiopulmonary bypass be safely performed in a pregnant patient with severe multivalvular disease and pulmonary hypertension when medical management fails?
Cardiac surgery on cardiopulmonary bypass can be a life-saving option for pregnant patients with severe multivalvular disease and pulmonary hypertension when medical management fails, though it carries significant fetal and maternal risks.
Supports feasibility of bypass valve surgery in refractory pregnant multivalvular disease; leaves open questions of generalizability and optimal risk mitigation.
Heart disease can affect anyone at any time, and pregnant women are not exceptions. Some type of cardiac pathologic disease can be seen in 1% to 2% of all pregnant women. Because of the high fetal mortality rate and the high relative rate of maternal mortality in surgery, medical management is the first line of treatment. Nevertheless, when medical treatment fails, cardiac surgery may be necessary. Here we present such a case of cardiac valvular disease complicated by pregnancy. Current decision-making, treatment, and trends are reviewed.
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DeLaRosa et al. (2005) conducted a case report in Severe mitral and tricuspid stenosis in pregnancy (n=1). Double valve replacement on cardiopulmonary bypass was evaluated on Maternal and fetal survival.
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