Key result
Thoracoscopic mitral valve repair with CPB for endocarditis saves pregnant mother but results in fetal death.
Why the study?
Does minimally invasive thoracoscopic mitral valve repair with cardiopulmonary bypass improve maternal and fetal outcomes in a pregnant woman with active MSSA infective endocarditis?
Case Report (n=1)
No
Does minimally invasive thoracoscopic mitral valve repair with cardiopulmonary bypass improve maternal and fetal outcomes in a pregnant woman with active MSSA infective endocarditis?
Cardiac surgery with cardiopulmonary bypass for infective endocarditis in early pregnancy can save the mother's life, but carries a very high risk of fetal mortality despite careful anesthetic and perfusion management.
Case supports individualized surgical timing in early-pregnancy IE; leaves open optimal CPB and anesthetic strategies.
Infective endocarditis (IE) during pregnancy and subsequent cardiac surgery are rare and associated with a high risk of mortality for the mother and fetus. It is difficult to determine the right time for cardiac intervention when IE is diagnosed early in pregnancy. A 33-year-old previously healthy woman in the 11 th week of pregnancy was diagnosed with IE and underwent surgical intervention. The cardiopulmonary bypass settings and the anesthetic drugs were carefully chosen. Although she was in good health, while being discharged, the fetus did not survive. Anesthesiologists prioritizing the mother's survival should aim to improve fetal outcomes in such cases.
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Tamura et al. (2018) conducted a case report in Infective endocarditis during pregnancy (n=1). Minimally invasive thoracoscopic mitral valve repair with cardiopulmonary bypass was evaluated on Maternal and fetal outcome. Minimally invasive thoracoscopic mitral valve repair with cardiopulmonary bypass in a pregnant woman with infective endocarditis resulted in maternal survival, but the fetus developed hydrops fetalis and did not survive.
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