Key result
Cardiopulmonary bypass during pregnancy carries ~19% feto-neonatal mortality, with earlier surgery linked to fetal death.
Why the study?
What are the indications and feto-neonatal outcomes of cardiopulmonary bypass during pregnancy?
Population
155 pregnant patients undergoing cardiopulmonary bypass
Design
Review
Authors
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Long-term outcomes after CPB in pregnancy remain poorly characterized; leaves open the need for prospective registries before refining practice.
What are the indications and feto-neonatal outcomes of cardiopulmonary bypass during pregnancy?
Cardiopulmonary bypass during pregnancy carries an 18.6% feto-neonatal mortality rate, which is strongly associated with shorter gestational periods at the time of surgery, suggesting delivery should be attempted ahead of surgery or surgery deferred till late pregnancy if possible.
Shi‐Min Yuan (2014) conducted a review in Pregnancy requiring cardiopulmonary bypass (n=155). Cardiopulmonary bypass was evaluated on Feto-neonatal mortality. Cardiopulmonary bypass during pregnancy resulted in an overall feto-neonatal mortality of 18.6%, with shorter gestational periods at the time of surgery closely associated with fetal death.
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